Active NPI
PRN Homecare Services Inc
- Public Health or Welfare Agency
- Springfield, IL
National Provider Identifier
1003059908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 1003045
- Legal business name
- PRN HOMECARE SERVICES INC
- Practice address
- 526 S Grand Ave W
Springfield, IL 62704-3720 - Phone
- (217) 789-1734
- Fax
- (217) 522-6941
- NPI assigned
- Apr 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Elmore W Snyder
- Title
- Administrator
- Phone
- (217) 789-1734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 1003045 | IL | Primary |
Addresses
Primary practice location
526 S Grand Ave W
Springfield, IL 62704-3720
Mailing address
526 S Grand Ave W
Springfield, IL 62704-3720
Phone (217) 789-1734
National Provider Directory
National Provider DirectoryLocations
526 South Grand Ave W
Springfield, IL 62704
Phone (217) 789-1734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239148800000",
"number": "1003059908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 S GRAND AVE W",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627043720",
"telephone_number": "217-789-1734",
"fax_number": "217-522-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 S GRAND AVE W",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627043720",
"telephone_number": "217-789-1734",
"fax_number": "217-522-6941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRN HOMECARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-08",
"last_updated": "2009-04-08",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "ELMORE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "217-789-1734",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "IL",
"license": "1003045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.