Providence Staffing Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVIDENCE STAFFING AGENCY

Practice address

2 Professional Dr
Ste 241
Gaithersburg, MD 20879-3408

Phone

(301) 560-4411

NPI assigned

Oct 3, 2016

Last updated

Oct 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yaw Ako-Asare

Title

Owner

Phone

(301) 560-4411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1346799350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PROFESSIONAL DR",
            "address_2": "STE 241",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793408",
            "telephone_number": "301-560-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PROFESSIONAL DR",
            "address_2": "STE 241",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793408",
            "telephone_number": "301-560-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE STAFFING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "AKO-ASARE",
        "authorized_official_first_name": "YAW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-560-4411"
    },
    "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 Oct 3, 2016; 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.