PRN Staffing Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

17753601 Issued in PA

Legal business name

PRN STAFFING HOME CARE LLC

Doing business as

Coastal Health Connections

Practice address

627 Swedesford Rd
Malvern, PA 19355-1530

Phone

(610) 738-4224

Fax

(484) 320-8102

NPI assigned

Sep 1, 2010

Organization subpart

No

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

Authorized official

Name

Tara McAllister

Title

Administrator

Phone

(610) 738-4224

Specialties & licenses 2

Addresses

Other names 1

• Coastal Health Connections Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 398366

Legal name

PRN STAFFING HOME CARE LLC

Doing business as

COASTAL HEALTH CONNECTIONS

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 17, 2024

Last certification

May 8, 2024

Organization structure

LLCProprietary

Incorporated

Mar 5, 2007 in PA

Enrollment address

627 Swedesford Rd
Malvern, PA 19355-1530

Listed as

Coastal Health ConnectionsCCN 398366 · All quality measures

Ownership

-

Certified

May 17, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1669789392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 SWEDESFORD RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551530",
            "telephone_number": "610-738-4224",
            "fax_number": "484-320-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 SWEDESFORD RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551530",
            "telephone_number": "610-738-4224",
            "fax_number": "484-320-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN STAFFING HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-738-4224"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "17753601",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Health Connections",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Health Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.