Organization Active NPI

Concept Staffing Services Inc.

  • In Home Supportive Care Agency
  • Cooper City, FL
National Provider Identifier
1659864676
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
232313 Issued in FL
Legal business name
CONCEPT STAFFING SERVICES INC.
Doing business as
Concept Home Care Services
Practice address
5189 SW 122ND Ter
Cooper City, FL 33330-4485
Phone
(954) 601-6706
NPI assigned
Jun 13, 2018
Organization subpart
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Ms. Beverly Fagan, NA
Title
Vice President
Phone
(954) 601-6706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 232313 FL Primary

Addresses

Primary practice location

5189 SW 122ND Ter
Cooper City, FL 33330-4485

Mailing address

PO Box 551116
Fort Lauderdale, FL 33355-1116
Phone (954) 601-6706

Other names 1

  • Concept Home Care Services Doing business as

National Provider Directory

National Provider Directory
Part of
Concept Staffing Services Inc

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1659864676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551116",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333551116",
            "telephone_number": "954-601-6706",
            "fax_number": "954-729-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5189 SW 122ND TER",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333304485",
            "telephone_number": "954-601-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT STAFFING SERVICES INC.",
        "organizational_subpart": "YES",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-601-6706",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "232313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concept Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.