Healthcare Provider Details

I. General information

NPI: 1073744603
Provider Name (Legal Business Name): ENIA STAFFING AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2009
Last Update Date: 07/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 EBENEZER RD L
ROCK HILL SC
29732-1062
US

IV. Provider business mailing address

2025 EBENEZER RD L
ROCK HILL SC
29732-1062
US

V. Phone/Fax

Practice location:
  • Phone: 866-545-2564
  • Fax: 800-886-8442
Mailing address:
  • Phone: 866-545-2564
  • Fax: 800-886-8442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberEX0966
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberEX0966
License Number StateSC

VIII. Authorized Official

Name: MIKE ARMPRESTER
Title or Position: ADMINISTRATOR
Credential: MA
Phone: 866-545-2564