Nursing Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NURSING AGENCY LLC

Practice address

17011 N Bay Rd Apt 1015
Sunny Isles Beach, FL 33160-3634

Phone

(305) 731-1602

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Ray Daniel Pernia

Title

Owner

Phone

(305) 731-1602

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1487429528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17011 N BAY RD APT 1015",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17011 N BAY RD APT 1015",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603634",
            "telephone_number": "305-731-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-18",
        "status": "A",
        "authorized_official_last_name": "PERNIA",
        "authorized_official_first_name": "RAY DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-731-1602"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.