Healthcare Provider Details

I. General information

NPI: 1225216781
Provider Name (Legal Business Name): STANDARDS CARE STAFFING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2008
Last Update Date: 04/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CUMMINGS CTR SUITE 433H
BEVERLY MA
01915-6115
US

IV. Provider business mailing address

100 CUMMINGS CTR SUITE 433H
BEVERLY MA
01915-6115
US

V. Phone/Fax

Practice location:
  • Phone: 978-922-0088
  • Fax: 978-922-0422
Mailing address:
  • Phone: 978-922-0088
  • Fax: 978-922-0422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. AGNES MOSES MANUMBU
Title or Position: PRINCIPAL
Credential: NURSE
Phone: 978-022-0088