Healthcare Provider Details

I. General information

NPI: 1073935318
Provider Name (Legal Business Name): BOSTON NURSE STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2014
Last Update Date: 02/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 STATE ST 7TH FLOOR ATTN: DAVID SUMMER
BOSTON MA
02109-2403
US

IV. Provider business mailing address

100 STATE ST 7TH FLOOR ATTN: DAVID SUMMER
BOSTON MA
02109-2403
US

V. Phone/Fax

Practice location:
  • Phone: 617-791-5001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. TRICIA THOMAS
Title or Position: MANAGER
Credential: RN
Phone: 617-791-5001