PRK Williams Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRK WILLIAMS INC.

Doing business as

To The Rescue

Practice address

139 40TH St NE
Cedar Rapids, IA 52402-5613

Phone

(319) 826-6068

Fax

(866) 397-3834

NPI assigned

Mar 19, 2009

Last updated

Feb 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Williams

Title

President

Phone

(303) 241-8181

Specialties & licenses 4

Addresses

Other names 1

• To The Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093956146. Details of each certification follow.

• CCN 167425 Home health agency · Active · Details

Home health agency certification: CCN 167425

Legal name

PRK WILLIAMS INC

Doing business as

TO THE RESCUE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 10, 2014

Last certification

Aug 28, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 1, 2005 in CO

Enrollment address

3725 Center Point Rd NE
Cedar Rapids, IA 52402-2926

Listed as

To the RescueCCN 167425 · All quality measures

Ownership

Proprietary

Certified

Sep 10, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

PRK Williams Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• PRK Williams Inc.

  dba To The Rescue

  • In Home Supportive Care Agency
  • Parker, CO
  • NPI 1053546960
  NPD tax ID

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1093956146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 40TH ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025613",
            "telephone_number": "319-826-6068",
            "fax_number": "866-397-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 40TH ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025613",
            "telephone_number": "319-826-6068",
            "fax_number": "866-397-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRK WILLIAMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-241-8181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "To The Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Price
• Taylor Price, LMHC
• Heather Pries, DDS
• Brian Keith Privett, M.D.
• Julia D Privett, PA-C
• Chad Proctor
• Kimberly Lynn Proctor, RD, LD
• Professional Hearing Services, Inc. (Professional Hearing Solutions by Dr. Jill)
• Progressive Rehabilitation Medicine, PC
• Michelle Marie Proskovec, PHARMD

• In Home Supportive Care Agency in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• In Home Supportive Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.