Provider Demographics
NPI: | 1841887692 |
---|---|
Name: | JOHNSONS HEALTHCARE STAFFING SOLUTION |
Entity type: | Organization |
Organization Name: | JOHNSONS HEALTHCARE STAFFING SOLUTION |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | DELIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CALLISTE-JOHNSON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 862-298-2050 |
Mailing Address - Street 1: | 8 TREACY AVE FL 1 |
Mailing Address - Street 2: | |
Mailing Address - City: | NEWARK |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 07108-1623 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 862-298-2050 |
Mailing Address - Fax: | 551-200-5307 |
Practice Address - Street 1: | 8 TREACY AVE FL 1 |
Practice Address - Street 2: | |
Practice Address - City: | NEWARK |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 07108-1623 |
Practice Address - Country: | US |
Practice Address - Phone: | 862-298-2050 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-12-28 |
Last Update Date: | 2021-07-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 163WH0200X | Nursing Service Providers | Registered Nurse | Home Health | Group - Multi-Specialty |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty | |
No | 364S00000X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Group - Multi-Specialty | |
No | 364SH0200X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Home Health | Group - Multi-Specialty |
No | 374U00000X | Nursing Service Related Providers | Home Health Aide | Group - Multi-Specialty | |
No | 376J00000X | Nursing Service Related Providers | Homemaker | Group - Multi-Specialty | |
No | 376K00000X | Nursing Service Related Providers | Nurse's Aide | Group - Multi-Specialty | |
No | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty | |
No | 164W00000X | Nursing Service Providers | Licensed Practical Nurse | Group - Multi-Specialty | |
No | 164X00000X | Nursing Service Providers | Licensed Vocational Nurse | Group - Multi-Specialty | |
No | 2278H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Home Health | Group - Multi-Specialty |
No | 251E00000X | Agencies | Home Health | Group - Multi-Specialty | |
No | 251J00000X | Agencies | Nursing Care | Group - Multi-Specialty | |
No | 253Z00000X | Agencies | In Home Supportive Care | Group - Multi-Specialty |