Organization Active NPI

PJR Enterprise LLC

  • Home Health Agency
  • Lake Mary, FL
National Provider Identifier
1063720969
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PJR ENTERPRISE LLC
Practice address
725 Primera Blvd
Suite 120
Lake Mary, FL 32746-2125
Phone
(407) 921-8696
Fax
(407) 549-3602
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul Jacob Ruff
Title
Owner/President
Phone
(407) 921-8696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

725 Primera Blvd
Suite 120
Lake Mary, FL 32746-2125

Mailing address

725 Primera Blvd
Suite 120
Lake Mary, FL 32746-2125
Phone (407) 921-8696

Other names 1

  • BrightStar of West Seminole Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1063720969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 PRIMERA BLVD",
            "address_2": "SUITE 120",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462125",
            "telephone_number": "407-921-8696",
            "fax_number": "407-549-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 PRIMERA BLVD",
            "address_2": "SUITE 120",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462125",
            "telephone_number": "407-921-8696",
            "fax_number": "407-549-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJR ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "407-921-8696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of West Seminole",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.