Provider Demographics
NPI:1285373472
Name:OVERFLOW CARE & STAFFING SERVICES
Entity type:Organization
Organization Name:OVERFLOW CARE & STAFFING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGWAFU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-687-6796
Mailing Address - Street 1:19 BROOKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-1687
Mailing Address - Country:US
Mailing Address - Phone:973-687-6796
Mailing Address - Fax:
Practice Address - Street 1:19 BROOKSTONE DR
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-1687
Practice Address - Country:US
Practice Address - Phone:973-687-6796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0450796634Medicaid