Organization Active NPI

Medical Staffing and Consulting Network,LLC

  • In Home Supportive Care Agency
  • Port Huron, MI
National Provider Identifier
1548689524
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MEDICAL STAFFING AND CONSULTING NETWORK,LLC
Practice address
3018 Gratiot Ave
Port Huron, MI 48060-2274
Phone
(810) 882-9915
NPI assigned
Apr 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Crystal Dawn Laeder, RN
Title
President
Phone
(810) 882-9915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3018 Gratiot Ave
Port Huron, MI 48060-2274

Mailing address

3018 Gratiot Ave
Port Huron, MI 48060-2274
Phone (810) 882-9915

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1548689524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 GRATIOT AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602274",
            "telephone_number": "810-882-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 GRATIOT AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602274",
            "telephone_number": "810-882-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL STAFFING AND CONSULTING NETWORK,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "LAEDER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-882-9915",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.