NPIMap

Organization Active NPI

PDN Nursing, Inc

Doing business as Nursing PRN

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Monroe, LA
National Provider Identifier
1093890089
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
6260 Issued in LA
Legal business name
PDN NURSING, INC
Doing business as
Nursing PRN
Practice address
1859 Avenue of America
Building 5
Monroe, LA 71201-4529
Phone
(318) 324-0144
Fax
(318) 324-0145
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Russell M Starns
Title
C.E.O.
Phone
(225) 262-9741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 6260 LA Primary

Addresses

Primary practice location

1859 Avenue of America
Building 5
Monroe, LA 71201-4529

Mailing address

1859 Avenue of America
Building 5
Monroe, LA 71201-4529
Phone (318) 324-0144

Other identifiers 1

IdentifierTypeStateIssuer
1103128MedicaidLA

Other names 1

  • Nursing PRN Doing business as

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.

Locations

1859 Avenue of America
Bldg 5
Monroe, LA 71201
Phone (318) 324-0144

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093890089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 AVENUE OF AMERICA",
            "address_2": "BUILDING 5",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014529",
            "telephone_number": "318-324-0144",
            "fax_number": "318-324-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 AVENUE OF AMERICA",
            "address_2": "BUILDING 5",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014529",
            "telephone_number": "318-324-0144",
            "fax_number": "318-324-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDN NURSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STARNS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "225-262-9741",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "LA",
            "license": "6260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103128",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nursing PRN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.