Provider Demographics
NPI:1487811154
Name:SAVCO HEALTHCARE & STAFFING SOLUTIONS, LLC
Entity type:Organization
Organization Name:SAVCO HEALTHCARE & STAFFING SOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:DELORES
Authorized Official - Last Name:VINCENT
Authorized Official - Suffix:
Authorized Official - Credentials:LPN BA
Authorized Official - Phone:832-488-9733
Mailing Address - Street 1:740 HOOSICK RD STE 8-229
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-6679
Mailing Address - Country:US
Mailing Address - Phone:832-488-9733
Mailing Address - Fax:832-365-7977
Practice Address - Street 1:228 AUBURN AVE NE
Practice Address - Street 2:C/O SMG
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-2647
Practice Address - Country:US
Practice Address - Phone:877-571-6658
Practice Address - Fax:832-365-7977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN062172251J00000X
NY247820251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0908834Medicaid