Statcare Recruiting

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

108325 Issued in CA

Legal business name

STATCARE RECRUITING

Practice address

139 Lucca Dr
South San Francisco, CA 94080-7100

Phone

(855) 424-4473

Fax

(855) 793-7333

NPI assigned

Aug 8, 2015

Organization subpart

No

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

Authorized official

Name

Glen Grivas, LVN

Title

Principle/Administrator

Phone

(855) 424-4473

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438992000000",
    "number": "1528444965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 LUCCA DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 LUCCA DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807100",
            "telephone_number": "855-424-4473",
            "fax_number": "855-793-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATCARE RECRUITING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-08",
        "last_updated": "2015-08-08",
        "status": "A",
        "authorized_official_last_name": "GRIVAS",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "PRINCIPLE/ADMINISTRATOR",
        "authorized_official_telephone_number": "855-424-4473",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "108325",
            "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 Aug 8, 2015; 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.