=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164239711
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | 2RNS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/17/2024
-----------------------------------------------------
Last Update Date | 12/17/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 268 MAIN STREET SUITE 100
-----------------------------------------------------
City | GLADSTONE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07934-0020
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-769-0800
-----------------------------------------------------
Fax | 908-234-0295
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 20
-----------------------------------------------------
City | GLADSTONE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07934-0020
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-769-0800
-----------------------------------------------------
Fax | 908-234-0295
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SUSAN MYER
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 908-797-2045
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WH0200X
-----------------------------------------------------
Taxonomy Name | Home Health Registered Nurse
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------