Provider Demographics
NPI:1699484790
Name:NHK MEDICAL STAFFING SERVICES LLC
Entity type:Organization
Organization Name:NHK MEDICAL STAFFING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNEDY
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:KILALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-385-9163
Mailing Address - Street 1:6500 UNIVERSITY AVE SUITE 100-PMB 137
Mailing Address - Street 2:
Mailing Address - City:WINDSOR HEIGHTS
Mailing Address - State:IA
Mailing Address - Zip Code:50324-1607
Mailing Address - Country:US
Mailing Address - Phone:312-385-9163
Mailing Address - Fax:
Practice Address - Street 1:6500 UNIVERSITY AVE SUITE 100-PMB 137
Practice Address - Street 2:
Practice Address - City:WINDSOR HEIGHTS
Practice Address - State:IA
Practice Address - Zip Code:50324-1607
Practice Address - Country:US
Practice Address - Phone:312-385-9163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities