Healthcare Provider Details

I. General information

NPI: 1073079752
Provider Name (Legal Business Name): REGISTREEUS STAFFING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2019
Last Update Date: 02/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 E ALAMEDA AVE STE 103
BURBANK CA
91502-1557
US

IV. Provider business mailing address

239 E ALAMEDA AVE STE 103
BURBANK CA
91502-1557
US

V. Phone/Fax

Practice location:
  • Phone: 818-748-3342
  • Fax: 818-748-3341
Mailing address:
  • Phone: 818-748-3342
  • Fax: 818-748-3341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code2278H0200X
TaxonomyHome Health Certified Respiratory Therapist
License Number
License Number StateNULL
# 7
Primary TaxonomyN
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. YESENIA VEGA
Title or Position: CEO
Credential:
Phone: 818-970-6017