Healthcare Provider Details

I. General information

NPI: 1306534599
Provider Name (Legal Business Name): SMART STAFFING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 HIGHLAND AVE STE 301
SALEM MA
01970-2733
US

IV. Provider business mailing address

84 HIGHLAND AVE STE 308A
SALEM MA
01970-2733
US

V. Phone/Fax

Practice location:
  • Phone: 978-224-2884
  • Fax: 978-336-0210
Mailing address:
  • Phone: 417-619-6449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. OLABIMPE FUNMI KOREDE
Title or Position: ADMINISTRATOR
Credential:
Phone: 978-224-2884