Active NPI
Professional Registered Services, LLC
- Home Health Agency
- Orlando, FL
National Provider Identifier
1144787607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PROFESSIONAL REGISTERED SERVICES, LLC
- Practice address
- 3207 Tradewinds TRL
Orlando, FL 32805-5851 - Phone
- (321) 239-7606
- NPI assigned
- Feb 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dominique Register, RN
- Title
- Authorized Official
- Phone
- (321) 239-7606
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Foster Care Agency | 253J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
3207 Tradewinds TRL
Orlando, FL 32805-5851
Mailing address
3207 Tradewinds TRL
Orlando, FL 32805-5851
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104607300 | Medicaid | FL | |
| 024196800 | Medicaid | FL |
Other names 1
- Dominique Register
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nursing Care Agency
- Orlando, FL
- NPI 1548725146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634169600000",
"number": "1144787607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3207 TRADEWINDS TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328055851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3207 TRADEWINDS TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328055851",
"telephone_number": "321-239-7606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL REGISTERED SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-20",
"last_updated": "2021-10-14",
"certification_date": "2020-11-19",
"status": "A",
"authorized_official_last_name": "REGISTER",
"authorized_official_first_name": "DOMINIQUE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "321-239-7606",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104607300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024196800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dominique Register",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.