Organization Active NPI

PRN Homecare Services Inc

  • Public Health or Welfare Agency
  • Springfield, IL
National Provider Identifier
1003059908
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
1003045 Issued in IL
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

Updated by the provider on Apr 8, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.