Provider Demographics
NPI:1457730731
Name:BREEZES REHAB STAFFING SOLUTIONS LLC
Entity Type:Organization
Organization Name:BREEZES REHAB STAFFING SOLUTIONS LLC
Other - Org Name:BREEZES REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:340-277-5076
Mailing Address - Street 1:PO BOX 24532
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00824-0532
Mailing Address - Country:US
Mailing Address - Phone:340-277-5076
Mailing Address - Fax:
Practice Address - Street 1:4002 BEESTON HILL MEDICAL CENTER
Practice Address - Street 2:STE 9
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-778-0730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI2-11968-1L235Z00000X
LA4945235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty