=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679580427
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMSTAFF SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/02/2006
-----------------------------------------------------
Last Update Date | 11/12/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 W MCNAB RD STE 106
-----------------------------------------------------
City | POMPANO BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33069-4719
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-859-6155
-----------------------------------------------------
Fax | 954-859-6166
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1000 W MCNAB RD STE 106
-----------------------------------------------------
City | POMPANO BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33069-4719
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-859-6155
-----------------------------------------------------
Fax | 954-859-6166
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF CLINICAL SERVICES
-----------------------------------------------------
Name | NADEGE SAINT JUSTE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 954-859-6155
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 299991986
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------