Staffing International Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

STAFFING INTERNATIONAL INC

Doing business as

Antons Home

Practice address

2598 Olympic Drive
San Bruno, CA 94066

Phone

(650) 553-5009

Fax

(650) 589-5909

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Jerome A Gutierrez

Title

Cfo

Phone

(650) 553-5009

Specialties & licenses 1

Addresses

Other names 1

• Antons Home Doing business as

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255488664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2598 OLYMPIC DRIVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-553-5009",
            "fax_number": "650-589-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2598 OLYMPIC DRIVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-553-5009",
            "fax_number": "650-589-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFING INTERNATIONAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "650-553-5009"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antons Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliana Soriano
• Angel Sosa Jimenez
• Aleksandra Stepanenko Soykin, PH.D.
• Vichen Srisuksate, DAOM
• Linzy Staff
• Julia Stankiewicz, CF-SLP
• Caroline Starling, MD
• Annabella Beth State
• Isabella Steele
• Vincent Gordon Stockton

• Intellectual Disabilities Intermediate Care Facility in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.