MEDICARE: PRN NURSINGS SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HHA21569096	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	60-70175	OTHER	FL	UNITEDHEALTHCARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205896255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRN NURSINGS SERVICES, INC

Provider Business Mailing Address
First Line	:	770 PONCE DE LEON BLVD
Second Line	:	SUITE# 304
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2065
Country	:	US
Telephone Number	:	305-265-4482
Fax Number	:	305-265-7622

Provider Business Practice Location Address
First Line	:	770 PONCE DE LEON BLVD
Second Line	:	SUITE# 304
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2065
Country	:	US
Telephone Number	:	305-265-4482
Fax Number	:	305-265-7622

Authorized Official
Title or Position	:	ADMINISTRATOR/CO-OWNER
Name	:	MS. JANET C. LOREDO
Credential	:
Telephone Number	:	305-265-4482

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	06/01/2011

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