Organization Active NPI

Extra Professional Staffing, Inc.

  • Nursing Care Agency
  • Towson, MD
National Provider Identifier
1659508976
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
090501 Issued in MD
Legal business name
EXTRA PROFESSIONAL STAFFING, INC.
Practice address
1055 Taylor Ave
Suite 209
Towson, MD 21286-8317
Phone
(410) 616-9268
Fax
(410) 616-9289
NPI assigned
Jun 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Authorized official

Name
Dr. Dominic Chimez Amaechi
Title
Manager
Phone
(410) 616-9268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 090501 MD Primary

Addresses

Primary practice location

1055 Taylor Ave
Suite 209
Towson, MD 21286-8317

Mailing address

1055 Taylor Ave
Suite 209
Towson, MD 21286-8317
Phone (410) 616-9268

Other names 1

  • Extra Pofessional Nursing Referral Services Doing business as

National Provider Directory

National Provider Directory

Locations

1055 Taylor Ave
Ste 209
Towson, MD 21286
Phone (410) 616-9268

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1659508976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 TAYLOR AVE",
            "address_2": "SUITE 209",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868317",
            "telephone_number": "410-616-9268",
            "fax_number": "410-616-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 TAYLOR AVE",
            "address_2": "SUITE 209",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868317",
            "telephone_number": "410-616-9268",
            "fax_number": "410-616-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA PROFESSIONAL STAFFING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "AMAECHI",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "CHIMEZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-616-9268",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "090501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extra Pofessional Nursing Referral Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.