Russell Krol Enterprises, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

229862 Issued in ZZ

Legal business name

RUSSELL KROL ENTERPRISES, INC.

Practice address

1799 N Belcher Rd
Ste B
Clearwater, FL 33765-1324

Phone

(727) 799-1400

Fax

(727) 799-3958

NPI assigned

Nov 3, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Julie Ann Krol

Title

President

Phone

(727) 799-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Instead Senior Care Doing business as

Locations

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1073840658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 N BELCHER RD",
            "address_2": "STE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651324",
            "telephone_number": "727-799-1400",
            "fax_number": "727-799-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 N BELCHER RD",
            "address_2": "STE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651324",
            "telephone_number": "727-799-1400",
            "fax_number": "727-799-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL KROL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "KROL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-799-1400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ZZ",
            "license": "229862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687926800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Miller Runyon, PHARMD
• Vanessa Rupe, CRNA
• Marsha Ruppert
• Dawn Michelle Rush-Wilde, ARNP
• Dominique Rushing, APRN
• Conrad E Russell, CRNA
• Jamila Russell, LMHC
• Penelope Marie Russell, OTR/L
• Rebecca Russell, APRN
• Lisa B Rust, COTA

• In Home Supportive Care Agency in Clearwater, FL
• Providers in Clearwater, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.