Staffing Village Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

05300501 Issued in PA

Legal business name

STAFFING VILLAGE INC.

Doing business as

Staffing Village Home Health Care

Practice address

1130 Glen Avon Rd
Darby, PA 19023-1414

Phone

(484) 540-7697

Fax

(484) 494-7385

NPI assigned

Apr 26, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Trinida Love Kollie-Jones, RN

Title

Ceo/Administrator/Director

Phone

(484) 888-1622

Specialties & licenses 4

Addresses

Other names 1

• Staffing Village Home Health Care Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 398343

Legal name

STAFFING VILLAGE INC

Doing business as

STAFFING VILLAGE HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 13, 2023

Last certification

Mar 10, 2023

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 25, 2011 in PA

Enrollment address

3400 Garrett Rd
Ste a
Drexel Hill, PA 19026-2940

Listed as

Staffing Village Home Health CareCCN 398343 · All quality measures

Ownership

Proprietary

Certified

Feb 13, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teinida L Kollie-Jones, NURSE

  • Registered Nurse
  • Darby, PA
  • NPI 1477890762
  NPD (past)

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

{
    "created_epoch": "1398470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1538589718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 GLEN AVON RD",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231414",
            "telephone_number": "484-889-9792",
            "fax_number": "484-494-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 GLEN AVON RD",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231414",
            "telephone_number": "484-540-7697",
            "fax_number": "484-494-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFING VILLAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-26",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "KOLLIE-JONES",
        "authorized_official_first_name": "TRINIDA",
        "authorized_official_middle_name": "LOVE",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR/DIRECTOR",
        "authorized_official_telephone_number": "484-888-1622",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "05300501",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "05300501",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PA",
            "license": "05300501",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "05300501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Staffing Village Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Varsha Sriram, MD, MPH
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• Brian William Stephenson, D.O.
• Shadece Sterling, CEO
• Laudz Stigall, FNP-BC

• Home Health Agency in Darby, PA
• Providers in Darby, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.