Healthcare Provider Details

I. General information

NPI: 1487811154
Provider Name (Legal Business Name): SAVCO HEALTHCARE & STAFFING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 12/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 AUBURN AVE NE C/O SMG
ATLANTA GA
30303-2647
US

IV. Provider business mailing address

740 HOOSICK RD STE 8-229
TROY NY
12180-6679
US

V. Phone/Fax

Practice location:
  • Phone: 877-571-6658
  • Fax: 832-365-7977
Mailing address:
  • Phone: 832-488-9733
  • Fax: 832-365-7977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberLPN062172
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number247820
License Number StateNY

VIII. Authorized Official

Name: MRS. ANITA DELORES VINCENT
Title or Position: PRESIDENT
Credential: LPN BA
Phone: 832-488-9733