MEDICARE: MED STAFFING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	HCO-13686	VA

General Provider Information

NPI Number	:	1427491687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED STAFFING INC

Provider Business Mailing Address
First Line	:	1206 LASKIN RD
Second Line	:	SUITE 201
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-5263
Country	:	US
Telephone Number	:	757-351-1396
Fax Number	:	757-460-1614

Provider Business Practice Location Address
First Line	:	1206 LASKIN RD
Second Line	:	SUITE 201
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-5263
Country	:	US
Telephone Number	:	757-351-1396
Fax Number	:	757-460-1614

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. CATHERINE ANN SHEEDER
Credential	:
Telephone Number	:	757-351-1396

Provider Enumeration Date	:	04/08/2013
Last Update Date	:	04/08/2013

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