Healthstaff Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

031R0239 Issued in GA

Legal business name

HEALTHSTAFF SERVICES INC

Practice address

144 Roy Huie Rd
Riverdale, GA 30274-1963

Phone

(770) 996-6226

Fax

(770) 996-6223

NPI assigned

Jul 22, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Hazel Angela Gilgeours

Title

Administrator

Phone

(770) 996-6226

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1013147180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152",
            "city": "LOVEJOY",
            "state": "GA",
            "postal_code": "302500152",
            "telephone_number": "770-996-6226",
            "fax_number": "770-996-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 ROY HUIE RD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302741963",
            "telephone_number": "770-996-6226",
            "fax_number": "770-996-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAFF SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "GILGEOURS",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-996-6226",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "031R0239",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "031R0239",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335088087A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Riverdale, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.