MEDICARE: SAVCO HEALTHCARE & STAFFING SOLUTIONS, 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	251J00000X	Nursing Care Agency	LPN062172	GA
2	251E00000X	Home Health Agency	247820	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487811154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVCO HEALTHCARE & STAFFING SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	740 HOOSICK RD STE 8-229
Second Line	:
City	:	TROY
State	:	NY
Zip	:	12180-6679
Country	:	US
Telephone Number	:	832-488-9733
Fax Number	:	832-365-7977

Provider Business Practice Location Address
First Line	:	228 AUBURN AVE NE
Second Line	:	C/O SMG
City	:	ATLANTA
State	:	GA
Zip	:	30303-2647
Country	:	US
Telephone Number	:	877-571-6658
Fax Number	:	832-365-7977

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ANITA DELORES VINCENT
Credential	:	LPN BA
Telephone Number	:	832-488-9733

Provider Enumeration Date	:	05/20/2008
Last Update Date	:	12/14/2011

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Directions to “SAVCO HEALTHCARE & STAFFING SOLUTIONS, LLC ” Practice Location

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