Active NPI
Secure Care Staffing, LLC.
- Nursing Care Agency
- Buffalo, NY
National Provider Identifier
1114522331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- SECURE CARE STAFFING, LLC.
- Practice address
- 111 Porter Ave Apt 162
Buffalo, NY 14201-1025 - Phone
- (171) 638-1002
- Fax
- (716) 954-7134
- NPI assigned
- Dec 4, 2020
- 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. Damone Thomas, LPN
- Title
- Director of Operations / Ceo
- Phone
- (716) 381-0026
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
111 Porter Ave Apt 162
Buffalo, NY 14201-1025
Mailing address
229 W Genesee St
Buffalo, NY 14202-2604
Phone (716) 381-0026
Other names 1
- Secure Care Staffing, LLC.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607040000000",
"number": "1114522331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 W GENESEE ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142022604",
"telephone_number": "716-381-0026",
"fax_number": "716-954-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PORTER AVE APT 162",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142011025",
"telephone_number": "171-638-1002",
"fax_number": "716-954-7134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECURE CARE STAFFING, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "DAMONE",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS / CEO",
"authorized_official_telephone_number": "716-381-0026",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Secure Care Staffing, LLC.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.