PRN Staffers NC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRN STAFFERS NC

Practice address

6574 Covecreek Dr
Charlotte, NC 28215-1739

Phone

(302) 317-6184

Fax

(302) 829-6109

NPI assigned

Nov 5, 2024

Organization subpart

No

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

Authorized official

Name

Earnestine Brown

Title

Director

Phone

(302) 317-6184

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1306669619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6574 COVECREEK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282151739",
            "telephone_number": "302-317-6184",
            "fax_number": "302-829-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6574 COVECREEK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282151739",
            "telephone_number": "302-317-6184",
            "fax_number": "302-829-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN STAFFERS NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EARNESTINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-317-6184"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.