# PROVISIONAL STAFFING, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902713548
- **Authorized official:** MICHAEL C MCCARTHY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (920) 470-9167

## Contact information

- **Practice address:** 2128 E PRAIRIE CREEK DR, NEENAH, WI 54956-5623
- **Practice address phone:** (920) 470-9167
- **Practice address fax:** (920) 969-0527
- **Mailing address:** 1461 KENWOOD DR, MENASHA, WI 54952-1153
- **Mailing address phone:** (920) 470-9167
- **Mailing address fax:** (920) 969-0527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/27/2026
- **Last updated:** 08/27/2026