PDN, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PDN, INC.

Practice address

10281 Corporate Dr
Gulfport, MS 39503-4603

Phone

(228) 604-4550

Fax

(228) 604-4656

NPI assigned

Nov 18, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Donor Lynn Skrnich

Title

Clinical Director

Phone

(228) 604-4550

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1366424897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10278 CORPORATE DRIVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034603",
            "telephone_number": "228-604-4550",
            "fax_number": "228-604-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10281 CORPORATE DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034603",
            "telephone_number": "228-604-4550",
            "fax_number": "228-604-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "SKRNICH",
        "authorized_official_first_name": "DONOR",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "228-604-4550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00014113",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.