Staffextenders LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

STAFFEXTENDERS LLC

Practice address

12820 Brookdale St
Victorville, CA 92392-7943

Phone

(760) 900-2700

NPI assigned

Sep 4, 2023

Organization subpart

No

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

Authorized official

Name

Monique Weimer

Title

Owner

Phone

(760) 900-2700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1821874181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 BROOKDALE ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927943",
            "telephone_number": "760-900-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 BROOKDALE ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927943",
            "telephone_number": "760-900-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFEXTENDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-02",
        "status": "A",
        "authorized_official_last_name": "WEIMER",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-900-2700"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.