Statstaff Nurses, PC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

IL1010609 Issued in IL

Legal business name

STATSTAFF NURSES, PC

Practice address

100 W Roosevelt Rd
Building B-5, Suite 205
Wheaton, IL 60187-5260

Phone

(630) 682-0118

Fax

(630) 682-0137

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Eugene Wilson Jr., PRESIDENT

Title

Ceo

Phone

(630) 682-0118

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• STATSTAFF HOME HEALTH AGENCY Doing business as

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942377353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W ROOSEVELT RD",
            "address_2": "BUILDING B-5, SUITE 205",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875260",
            "telephone_number": "630-682-0118",
            "fax_number": "630-682-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W ROOSEVELT RD",
            "address_2": "BUILDING B-5, SUITE 205",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875260",
            "telephone_number": "630-682-0118",
            "fax_number": "630-682-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATSTAFF NURSES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-682-0118",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "IL1010609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH LICENSE",
            "identifier": "IL1010609",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STATSTAFF HOME HEALTH AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joy St. Pierre
• Bridget M Stafford, PH.D.
• Natalie Renee Stage, LCPC
• Brittany Diana Stankiewicz
• Tanya Stann, NURSE PRACTITIONER
• Anita Elizabeth Stauffer, PHD
• Christina Joy Stauffer
• Melanie Ann Stearns, M.D.
• Laura Susana Stec
• Daniel Michael Steeno

• Home Health Agency in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Home Health Agency in Illinois

• 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.