CLUB STAFFING (NPI# 1639351315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639351315 |
| Entity Type | Organization |
| Organization Name | CLUB STAFFING |
| Practice Address |
5027 Upper Elm St Atlanta GA 30349-1669 |
| Practice Telephone | 4048400747 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | NOVELLA D TASCOE (RESPIRATORY THERAPIST) |
| Authorized Official Telephone | 4048400747 |
| Authorized Official Credential | RRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 005530 | GA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548458268 | Club Staffing | Early Intervention Provider Agency | 5435 Kester Ave Apt 210, Sherman Oaks, CA 91411-3778 | 2007-10-09 |
| 1841483112 | Club Staffing | General Acute Care Hospital | 1082 Vinyard Dr, Oregon, WI 53575-3314 | 2007-08-21 |
| 1063604601 | Club Staffing | Skilled Nursing Facility | 1345 Whirlwind Hill Rd, Wallingford, CT 06492-2727 | 2007-08-17 |
| 1588875322 | Club Staffing | General Acute Care Hospital | 13905 Fletchers Mill Dr, Tampa, FL 33613-4118 | 2007-05-24 |
| 1568652972 | Club Staffing | General Acute Care Hospital | 5901 Broken Sound Pkwy, Suite 500, Boca Raton, FL 33487-2773 | 2007-08-01 |
| 1952509788 | Club Staffing | Long Term Care Hospital | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2007-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CLUB STAFFING, INC. | 4800 N Federal Hwy Ste E301, Boca Raton, FL 33431 |
| Vermont Business Registrations | CLUB STAFFING, INC. | 4800 N Fed Hwy.,e-301, Boca Raton, FL 33431 |
| Connecticut Business Registrations | CLUB STAFFING, INC. | Amn Healthcare, Inc., 12400 High Bluff Dr., Ste. 100 - Attn: Legal, San Diego, CA 92130 |
| Colorado Business Entities | CLUB STAFFING, LLC | 524 E. Lamar Blvd., Suite 300, Burlington, TX 76011 |
| Street Address |
5027 UPPER ELM ST |
| City | ATLANTA |
| State | GA |
| Zip Code | 30349-1669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1750640140 | Morehouse School of Medicine Inc | General Acute Care Hospital | 720 Westview Dr., Sw, Morehouse School of Medicine Dept. of Surgery, Atlanta, GA 30310 | 2012-05-07 |
| 1104115476 | University of Utah | General Acute Care Hospital | 470 N Harbor Dr Nw, Atlanta, GA 30328-2751 | 2011-04-07 |
| 1144473893 | Atlanta Medical Center | General Acute Care Hospital | 1421 Mcgill Park Ave Ne, Atlanta, GA 30312-4219 | 2008-10-28 |
| 1679724413 | Alice W. Smith, Md PC | General Acute Care Hospital | 1920 Hazelbrook Way, Atlanta, GA 30339-8471 | 2008-10-09 |
| 1114199270 | Morehouse School of Medicine | General Acute Care Hospital | 1150 Collier Rd Nw Apt C1, Atlanta, GA 30318-2929 | 2008-03-29 |
| 1629255419 | Emory University School of Medicine Department of Ophthalmology | General Acute Care Hospital | 1365 Clifton Rd Ne # B3500, Atlanta, GA 30322-1013 | 2008-01-24 |
| 1598941320 | Emory University | General Acute Care Hospital | 3200 Lenox Rd Ne, E212, Atlanta, GA 30324-2679 | 2008-01-10 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.