Organization Active NPI

PRN Care LLC

  • Home Health Agency
  • Clifton, NJ
National Provider Identifier
1265893663
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0210400 Issued in NJ
Legal business name
PRN CARE LLC
Practice address
790 Bloomfield Ave
Building E, Suite 1
Clifton, NJ 07012-1142
Phone
(862) 249-1300
NPI assigned
Mar 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Mr. Daniel Patrick Mielech, MBA
Title
Vice President
Phone
(862) 249-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0210400 NJ Primary

Addresses

Primary practice location

790 Bloomfield Ave
Building E, Suite 1
Clifton, NJ 07012-1142

Mailing address

790 Bloomfield Ave
Building E, Suite 1
Clifton, NJ 07012-1142
Phone (862) 249-1300

National Provider Directory

National Provider Directory

Locations

790 Bloomfield Ave
Ste E1
Clifton, NJ 07012
Phone (862) 249-1300

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1265893663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 BLOOMFIELD AVE",
            "address_2": "BUILDING E, SUITE 1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121142",
            "telephone_number": "862-249-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 BLOOMFIELD AVE",
            "address_2": "BUILDING E, SUITE 1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121142",
            "telephone_number": "862-249-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "MIELECH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "862-249-1300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0210400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.