Providence Staffing Group LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVIDENCE STAFFING GROUP LLC

Practice address

104 Industrial Blvd Ste J-1
Sugar Land, TX 77478-3180

Phone

(832) 532-8770

Fax

(713) 583-3337

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Preselect Tawo

Title

Administrator/Board Member

Phone

(832) 532-8770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1235615444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 INDUSTRIAL BLVD STE J-1",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783180",
            "telephone_number": "832-532-8770",
            "fax_number": "713-583-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 INDUSTRIAL BLVD STE J-1",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783180",
            "telephone_number": "832-532-8770",
            "fax_number": "713-583-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE STAFFING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "TAWO",
        "authorized_official_first_name": "PRESELECT",
        "authorized_official_title_or_position": "ADMINISTRATOR/BOARD MEMBER",
        "authorized_official_telephone_number": "832-532-8770"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.