Organization Active NPI

Quickstaff Healthcare Inc

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1831304419
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA3927 Issued in AZ
Legal business name
QUICKSTAFF HEALTHCARE INC
Practice address
40 N Central Ave
Suite 1400
Phoenix, AZ 85004-4424
Phone
(602) 357-4755
Fax
(602) 391-2272
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kessington Okundaye
Title
President Ceo
Phone
(602) 357-4755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA3927 AZ Primary

Addresses

Primary practice location

40 N Central Ave
Suite 1400
Phoenix, AZ 85004-4424

Mailing address

40 N Central Ave
Suite 1400
Phoenix, AZ 85004-4424
Phone (602) 357-4755

Other identifiers 2

IdentifierTypeStateIssuer
HHA3927OtherAZHOME HEALTH AGENCY ID
098657OtherAZAHCCCS PROVIDER ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831304419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N CENTRAL AVE",
            "address_2": "SUITE 1400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044424",
            "telephone_number": "602-357-4755",
            "fax_number": "602-391-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N CENTRAL AVE",
            "address_2": "SUITE 1400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044424",
            "telephone_number": "602-357-4755",
            "fax_number": "602-391-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICKSTAFF HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKUNDAYE",
        "authorized_official_first_name": "KESSINGTON",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "602-357-4755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA3927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY ID",
            "identifier": "HHA3927",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER ID",
            "identifier": "098657",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.