Active NPI
Healthcare Staffers, LLC
- Child Intellectual and/or Developmental Disabilities Respite Care
- Nashville, TN
National Provider Identifier
1114128121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- License
- L 438-017-3683
- Legal business name
- HEALTHCARE STAFFERS, LLC
- Practice address
- 545 Mainstream Dr Ste 100
Nashville, TN 37228-1213 - Phone
- (615) 259-2772
- NPI assigned
- May 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bob F Donovan
- Title
- President
- Phone
- (503) 586-7147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | L 438-017-3683 | TN | Primary |
Addresses
Primary practice location
545 Mainstream Dr Ste 100
Nashville, TN 37228-1213
Mailing address
545 Mainstream Dr Ste 100
Nashville, TN 37228-1213
Phone (615) 259-2772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L 438-017-3683 | Other | TN | STATE LICENSE NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305158400000",
"number": "1114128121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 MAINSTREAM DR STE 100",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281213",
"telephone_number": "615-259-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 MAINSTREAM DR STE 100",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281213",
"telephone_number": "615-259-2772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHCARE STAFFERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-29",
"last_updated": "2011-05-12",
"status": "A",
"authorized_official_last_name": "DONOVAN",
"authorized_official_first_name": "BOB",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-586-7147",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "TN",
"license": "L 438-017-3683",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "L 438-017-3683",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.