Healthcare Provider Details

I. General information

NPI: 1689027989
Provider Name (Legal Business Name): LA TRAINING AND STAFFING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2016
Last Update Date: 07/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6299 W SUNRISE BLVD SUITE 204
PLANTATION FL
33313-6180
US

IV. Provider business mailing address

6299 W SUNRISE BLVD SUITE 204
PLANTATION FL
33313-6180
US

V. Phone/Fax

Practice location:
  • Phone: 954-643-6443
  • Fax: 954-578-2165
Mailing address:
  • Phone: 954-643-6443
  • Fax: 954-578-2165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number234401
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number233403
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number234401
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number234401
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number234401
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code335G00000X
TaxonomyMedical Foods Supplier
License Number234401
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number234401
License Number StateFL

VIII. Authorized Official

Name: BEATRICE LOUISSANT
Title or Position: PRESIDENT
Credential: MSW/
Phone: 954-643-6443