Professional Reliable Nursing Service Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROFESSIONAL RELIABLE NURSING SERVICE INC

Doing business as

Addus HealthCare
Addus HomeCare

Practice address

3501 Coffee Rd Ste 3
Modesto, CA 95355-1343

Phone

(209) 526-8451

Fax

(209) 574-6116

NPI assigned

Apr 7, 2006

Last updated

Oct 7, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

ADDUS HEALTHCARE, INC.As reported in NPPES

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

Authorized official

Name

Darby Anderson

Title

Evp Chief Strategy Officer

Phone

(630) 296-3591

Specialties & licenses 5

Addresses

Other names 2

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

Part of

Adus Healthcare Inc

Member of 1

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

• Addus Healthcare Inc

  dba Addus HomeCare

  • Home Health Agency
  • Dover, DE
  • NPI 1366408932

  Member Of

  NPD member

Locations

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

{
    "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": [],
    "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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• In Home Supportive Care Agency in Modesto, CA
• Providers in Modesto, CA by specialty
• In Home Supportive Care Agency in California

• 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.