Healthcare Provider Details

I. General information

NPI: 1316177850
Provider Name (Legal Business Name): NURSES REGISTRY AND HOME HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 08/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4720 SALISBURY RD SUITE 107
JACKSONVILLE FL
32256-6101
US

IV. Provider business mailing address

101 VENTURE CT SUITE 1A
LEXINGTON KY
40511-2615
US

V. Phone/Fax

Practice location:
  • Phone: 904-685-8866
  • Fax: 904-685-8867
Mailing address:
  • Phone: 859-255-4411
  • Fax: 859-253-6544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299992788
License Number StateFL

VIII. Authorized Official

Name: MR. LENNIE G HOUSE
Title or Position: CEO
Credential:
Phone: 859-255-4411