Mstoa Staffing

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

253Z00000X Issued in IL

Legal business name

MSTOA STAFFING

Doing business as

Moorish Science Temple of America

Practice address

353 S Cicero Ave
Chicago, IL 60644-4905

Phone

(773) 309-8749

NPI assigned

Sep 19, 2011

Last updated

Sep 19, 2011By 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

Ms. Latricia Waltonel, RMA

Title

Assistant Manager

Phone

(773) 309-8749

Specialties & licenses 1

Addresses

Other names 1

• Moorish Science Temple of America Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latricia Walton, RMA

  • Homemaker
  • Chicago, IL
  • NPI 1134401235
  NPD (past)

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1528340296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444905",
            "telephone_number": "773-309-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSTOA STAFFING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "WALTONEL",
        "authorized_official_first_name": "LATRICIA",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "773-309-8749",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "253Z00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moorish Science Temple of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Mourice Mseih, DC
• Mshealth
• MSM-Net, Inc.
• Mso Great Lakes, Inc.
• Mstar Services Inc
• MSW DPM Inc (Lincoln Park Podiatry)
• Mt Sinai
• Mt Sinai Hospital
• Mt Sinai Pediatric Center
• Mt Sinai Pediatric Center FFS

• In Home Supportive Care Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.