MEDICARE: 247 ALLSTAFF WEST LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1225294226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	247 ALLSTAFF WEST LLC

Provider Business Mailing Address
First Line	:	3824 CEDAR SPRINGS RD STE 118
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-4136
Country	:	US
Telephone Number	:	469-484-6020
Fax Number	:

Provider Business Practice Location Address
First Line	:	2450 VENTURE OAKS WAY STE 200
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95833-4226
Country	:	US
Telephone Number	:	888-788-5424
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDWARD NAVALES
Credential	:
Telephone Number	:	469-484-6020

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	09/02/2025

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