Organization Active NPI

Professional Resources Management, Inc

Doing business as Associates Home Health

  • Home Health Registered Nurse
  • Union Springs, AL
National Provider Identifier
1073662797
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
0608901HH Issued in AL
Legal business name
PROFESSIONAL RESOURCES MANAGEMENT, INC
Doing business as
Associates Home Health
Practice address
232 Prairie St N
Union Springs, AL 36089-1617
Phone
(334) 738-4155
Fax
(334) 738-4137
NPI assigned
Jan 10, 2007
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Jacques Jarry
Title
Ceo
Phone
(334) 738-1429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X 0608901HH AL Primary

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 names 1

  • ASSOCIATES HOME HEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1073662797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CONECUH AVE W",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "360891303",
            "telephone_number": "334-738-4155",
            "fax_number": "334-738-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 PRAIRIE ST N",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "360891617",
            "telephone_number": "334-738-4155",
            "fax_number": "334-738-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RESOURCES MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "JARRY",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-738-1429"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "AL",
            "license": "0608901HH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSOCIATES HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union Springs, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.