Healthcare Provider Details

I. General information

NPI: 1033376199
Provider Name (Legal Business Name): TOTAL HEALTHCARE STAFFING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 08/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 E BOULDER ST
COLORADO SPRINGS CO
80909-5839
US

IV. Provider business mailing address

1902 E BOULDER ST
COLORADO SPRINGS CO
80909-5839
US

V. Phone/Fax

Practice location:
  • Phone: 719-634-4999
  • Fax: 719-634-4978
Mailing address:
  • Phone: 719-634-4999
  • Fax: 719-634-4978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number04J542
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number04J542
License Number StateCO

VIII. Authorized Official

Name: MARK TERRY
Title or Position: PRESIDENT
Credential:
Phone: 719-634-4999