=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457688202
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARING FOR YOU STAFFING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/13/2009
-----------------------------------------------------
Last Update Date | 06/23/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4384 STAGE RD STE 308
-----------------------------------------------------
City | MEMPHIS
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38128
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 901-591-6149
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4384 STAGE RD SUITE 308
-----------------------------------------------------
City | MEMPHIS
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38128-5794
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 901-591-6149
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL MANAGER
-----------------------------------------------------
Name | MRS. GERALDINE JAMES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 901-591-6149
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number | I000000004216
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------