Provider Demographics
NPI:1134825565
Name:OCEANSIDE NURSING & STAFFING SOLUTIONS, LLC
Entity type:Organization
Organization Name:OCEANSIDE NURSING & STAFFING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MONIKER
Authorized Official - Middle Name:
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:772-774-7674
Mailing Address - Street 1:PO BOX 650372
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32965-0372
Mailing Address - Country:US
Mailing Address - Phone:772-774-7674
Mailing Address - Fax:772-774-7570
Practice Address - Street 1:601 21ST ST STE 330
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-0801
Practice Address - Country:US
Practice Address - Phone:772-774-7674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing CareGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty