Active NPI
Cis Staffing III LLC
- Home Health Aide
- Reading, PA
National Provider Identifier
1285329417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- CIS STAFFING III LLC
- Practice address
- 15 N 6TH St # 304
Reading, PA 19601-3505 - Phone
- (973) 870-2739
- Fax
- (484) 709-8193
- NPI assigned
- Apr 5, 2023
- 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
- Chavely Polanco
- Title
- Ceo
- Phone
- (973) 870-2739
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
15 N 6TH St # 304
Reading, PA 19601-3505
Mailing address
15 N 6TH St # 304
Reading, PA 19601-3505
Phone (973) 870-2739
National Provider Directory
National Provider DirectoryLocations
15 N 6th St
#304
Reading, PA 19601
Phone (973) 870-2739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682985600000",
"number": "1285329417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 N 6TH ST # 304",
"city": "READING",
"state": "PA",
"postal_code": "196013505",
"telephone_number": "973-870-2739",
"fax_number": "484-709-8193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N 6TH ST # 304",
"city": "READING",
"state": "PA",
"postal_code": "196013505",
"telephone_number": "973-870-2739",
"fax_number": "484-709-8193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIS STAFFING III LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-05",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A",
"authorized_official_last_name": "POLANCO",
"authorized_official_first_name": "CHAVELY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-870-2739"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.