PRN Medical Staffing, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

02750501 Issued in PA

Legal business name

PRN MEDICAL STAFFING, INC.

Practice address

318 Youngs Rd
Linden, PA 17744-9038

Phone

(570) 398-1330

Fax

(570) 398-1705

NPI assigned

Jul 1, 2006

Organization subpart

No

Name

Mrs. Sulynn Helen Liberti, RN,DON

Title

Admininstrator,Don

Phone

(570) 398-1330

Listed as

PRN Home Health ServicesCCN 398057

Ownership

Proprietary

Certified

Jan 29, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 398057

Legal name

PRN MEDICAL STAFFING, INC.

Doing business as

PRN HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 29, 2007

Last certification

Apr 17, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 1, 2002 in PA

Enrollment address

2134 W 4TH St
Williamsport, PA 17701-4344
HHA Branch

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

• PRN Home Health Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2007.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1114956331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 YOUNGS RD",
            "city": "LINDEN",
            "state": "PA",
            "postal_code": "177449038",
            "telephone_number": "570-398-1330",
            "fax_number": "570-398-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 YOUNGS RD",
            "city": "LINDEN",
            "state": "PA",
            "postal_code": "177449038",
            "telephone_number": "570-398-1330",
            "fax_number": "570-398-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN MEDICAL STAFFING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "LIBERTI",
        "authorized_official_first_name": "SULYNN",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "ADMININSTRATOR,DON",
        "authorized_official_telephone_number": "570-398-1330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,DON"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "02750501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRN Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Pearl Menne
• Kathleen Rena Watson, COTA/L

• All providers in Linden, PA
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.