Healthcare Provider Details

I. General information

NPI: 1295065035
Provider Name (Legal Business Name): NATIONAL STAFFING AND HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2009
Last Update Date: 12/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8711 MAIN ST
WHITMORE LAKE MI
48189-9248
US

IV. Provider business mailing address

8711 MAIN ST PO BOX 160
WHITMORE LAKE MI
48189-9248
US

V. Phone/Fax

Practice location:
  • Phone: 734-449-9050
  • Fax: 734-449-9192
Mailing address:
  • Phone: 734-449-9050
  • Fax: 734-449-9192

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 Code251J00000X
TaxonomyNursing Care 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: MRS. BETINA MARIE LUPI-SMITH
Title or Position: PRES/OWNER
Credential: BA
Phone: 734-449-9050