Pro Medical Staffing, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

343805 Issued in MN

Legal business name

PRO MEDICAL STAFFING, INC.

Practice address

7964 Brooklyn Blvd
Suite 216
Brooklyn Park, MN 55445-2722

Phone

(763) 420-3183

Fax

(763) 494-6664

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Alexander O Bassey-Black

Title

Ods

Phone

(763) 420-3183

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1073749941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7964 BROOKLYN BLVD",
            "address_2": "SUITE 216",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452722",
            "telephone_number": "763-420-3183",
            "fax_number": "763-494-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7964 BROOKLYN BLVD",
            "address_2": "SUITE 216",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452722",
            "telephone_number": "763-420-3183",
            "fax_number": "763-494-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MEDICAL STAFFING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "BASSEY-BLACK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ODS",
        "authorized_official_telephone_number": "763-420-3183"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "343805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A512419100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prime Scrubs & Medical Supply
• Primestone Healthcare LLC
• Primor Home Health Care LLC
• Primus Incorporated
• Pro Health Home Care
• Prohealth Care Systems Inc
• Prosperity Home Healthcare LLC
• Pulse Care LLC
• Pulsepoint Healthcare LLC
• Ann Purcell, LADC

• Home Health Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.