MEDICARE: MEDICAL STAFFING NETWORK, 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	251E00000X	Home Health Agency	008392	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	001012480	OTHER	TX	MDCP

General Provider Information

NPI Number	:	1437287562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL STAFFING NETWORK, INC.

Provider Business Mailing Address
First Line	:	901 YAMATO RD STE 110
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-4415
Country	:	US
Telephone Number	:	561-322-1300
Fax Number	:	561-322-1445

Provider Business Practice Location Address
First Line	:	11551 FOREST CENTRAL DR STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-3946
Country	:	US
Telephone Number	:	214-341-3796
Fax Number	:	214-341-3795

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KEVIN LITTLE
Credential	:
Telephone Number	:	561-322-1300

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	03/26/2009

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