Professional Resources Management, Inc
Organization Active NPI Home Health Registered Nurse · Union Springs, AL
NPI 1073662797 · NPPES record last updated Jun 25, 2008
Key facts
- NPI
- 1073662797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 0608901HH (AL)
- Legal business name
- PROFESSIONAL RESOURCES MANAGEMENT, INC
- Practice address
- 232 Prairie St N
Union Springs, AL 36089-1617 - Phone
- (334) 738-4155
- Fax
- (334) 738-4137
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Jacques Jarry
- Title
- Ceo
- Phone
- (334) 738-1429
Other NPIs on the same Medicare enrollment 2
Practitioners 3
-
Roger T Boyington, D.O.
-
James D Crosby, MD
-
Tahir Siddiq, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040611000549 | AL | Part B Supplier - Clinic/Group Practice | 5597748350 |
Receives reassigned benefits from 21 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Union Springs, AL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse |
163WH0200X | 0608901HH | AL | Yes |
Addresses
Primary practice location
232 Prairie St N
Union Springs, AL 36089-1617
Mailing address
102 Conecuh Ave W
Union Springs, AL 36089-1303
Phone (334) 738-4155
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA5051 | Other | RAILROAD MEDICARE | |
| ASS7139A | Medicaid | AL | |
| 51043908 | Other | AL | BCBS OF AL |
Other names
- ASSOCIATES HOME HEALTH
Other providers in Union Springs, AL
- Deborah S Moore
- Nra-Union Springs, Alabama, LLC
- Lynn Finlinson Oborn
- Physicians Choice Dialysis of Union Springs LLC
- Brenda Sue Pittman-Hooks
- Professional Resources Management, Inc
- Professional Resources Management, Inc.
- Professional Resources Management, Inc.
- Rosalina S. Aguilar
- Rural Community Services, Inc
All providers in Union Springs, AL · Home Health Registered Nurse in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.