Professional Reliable Nursing Service Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROFESSIONAL RELIABLE NURSING SERVICE INC

Practice address

3501 Coffee Rd Ste 3
Modesto, CA 95355-1343

Phone

(209) 526-8451

Fax

(209) 574-6116

NPI assigned

Apr 7, 2006

Organization subpart

Yes

Parent organization

ADDUS HEALTHCARE, INC.As reported in NPPES

Name

Darby Anderson

Title

Evp Chief Strategy Officer

Phone

(630) 296-3591

Organizations this organization is a member of, according to the National Provider Directory.

• Addus Healthcare Inc

  • Home Health Agency
  • Dover, DE
  • NPI 1366408932

  Member Of

  NPD member

Part of

Addus Healthcare Inc

Locations

• Addus HealthCare Doing business as
• Addus HomeCare Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2020.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1497718951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WARRENVILLE RD STE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151717",
            "telephone_number": "630-296-3591",
            "fax_number": "630-487-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 COFFEE RD STE 3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551343",
            "telephone_number": "209-526-8451",
            "fax_number": "209-574-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RELIABLE NURSING SERVICE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDUS HEALTHCARE, INC.",
        "enumeration_date": "2006-04-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DARBY",
        "authorized_official_title_or_position": "EVP CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "630-296-3591"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "100000005",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57272F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addus HealthCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Addus HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.