NPIMap

Organization Active NPI

Nursing PRN Inc

  • Custodial Care Facility
  • Baton Rouge, LA
National Provider Identifier
1083872139
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
12065 Issued in LA
Legal business name
NURSING PRN INC
Practice address
4910 Monticello Blvd
Baton Rouge, LA 70814-7237
Phone
(225) 273-0051
Fax
(225) 273-0510
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Mr. Russell M. Starns
Title
Ceo
Phone
(225) 273-0075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 12065 LA Primary

Addresses

Primary practice location

4910 Monticello Blvd
Baton Rouge, LA 70814-7237

Mailing address

4910 Monticello Blvd
Baton Rouge, LA 70814-7237
Phone (225) 273-0051

Other identifiers 1

IdentifierTypeStateIssuer
1103128MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Nursing PRN Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1083872139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 MONTICELLO BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708147237",
            "telephone_number": "225-273-0051",
            "fax_number": "225-273-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MONTICELLO BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708147237",
            "telephone_number": "225-273-0051",
            "fax_number": "225-273-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING PRN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "STARNS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-273-0075",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "LA",
            "license": "12065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103128",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.