Active NPI
PRN Nursings Services, Inc
- Home Health Agency
- Coral Gables, FL
National Provider Identifier
1205896255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA21569096
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650557103 | Medicaid | FL | |
| 650557101 | Medicaid | FL | |
| 60-70175 | Other | FL | UNITEDHEALTHCARE |
| 650557100 | Medicaid | FL | |
| 650557196 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Ownership
- Proprietary
- Certified
- Sep 21, 2007
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Speech pathology
National Provider Directory
National Provider Directory- Tax ID family
- PRN Nursings Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Coral Gables, FL
- NPI 1043880370
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Janet Loredo | 5% Or Greater Direct Ownership Interest | Feb 6, 2003 | 50% |
| Corporate Director | Feb 6, 2003 | ||
| W-2 Managing Employee | Feb 6, 2003 | ||
| Asela Perez | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.