Organization Active NPI

PRN Nursings Services, Inc

  • Home Health Agency
  • Coral Gables, FL
National Provider Identifier
1205896255
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA21569096 Issued in FL
Legal business name
PRN NURSINGS SERVICES, INC
Practice address
770 Ponce de Leon Blvd
Suite# 304
Coral Gables, FL 33134-2065
Phone
(305) 265-4482
Fax
(305) 265-7622
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Ms. Janet C. Loredo
Title
Administrator/Co-Owner
Phone
(305) 265-4482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA21569096 FL Primary

Addresses

Primary practice location

770 Ponce de Leon Blvd
Suite# 304
Coral Gables, FL 33134-2065

Mailing address

770 Ponce de Leon Blvd
Suite# 304
Coral Gables, FL 33134-2065
Phone (305) 265-4482

Other identifiers 5

IdentifierTypeStateIssuer
650557103MedicaidFL
650557101MedicaidFL
60-70175OtherFLUNITEDHEALTHCARE
650557100MedicaidFL
650557196MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060721000085 FL Part A Provider - Home Health Agency 0446263248 Practice locations: Coral Gables, FL

Home health agency certification: CCN 108465

Legal name
PRN NURSINGS SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 21, 2007
Last certification
Dec 10, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 13, 1993 in FL
Enrollment address
770 Ponce de Leon Boulevard
Suite 304
Coral Gables, FL 33134-2068

Care Compare: Home health agency

Medicare Care Compare
Listed as
PRN Nursing Services, Inc.CCN 108465
Ownership
Proprietary
Certified
Sep 21, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Speech pathology

National Provider Directory

National Provider Directory
Tax ID family
PRN Nursings Services 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.

Locations

770 Ponce de Leon Blvd
Ste 304
Coral Gables, FL 33134
Phone (305) 265-4482

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Janet Loredo Individual 5% Or Greater Direct Ownership Interest Feb 6, 2003 50%
Corporate Director Feb 6, 2003
W-2 Managing Employee Feb 6, 2003
Asela Perez Individual 5% Or Greater Direct Ownership Interest Feb 6, 2003 50%
Corporate Director Feb 6, 2003
W-2 Managing Employee Feb 6, 2003

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1205896255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PONCE DE LEON BLVD",
            "address_2": "SUITE# 304",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342065",
            "telephone_number": "305-265-4482",
            "fax_number": "305-265-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PONCE DE LEON BLVD",
            "address_2": "SUITE# 304",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342065",
            "telephone_number": "305-265-4482",
            "fax_number": "305-265-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN NURSINGS SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "LOREDO",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR/CO-OWNER",
        "authorized_official_telephone_number": "305-265-4482",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA21569096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650557103",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650557101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "60-70175",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650557100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650557196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.