Provider Demographics
NPI:1295182830
Name:PRO NURSING HOME CARE, INC.
Entity Type:Organization
Organization Name:PRO NURSING HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:RULSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-840-8721
Mailing Address - Street 1:2201 MOUNT VERNON AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-3312
Mailing Address - Country:US
Mailing Address - Phone:661-840-8721
Mailing Address - Fax:661-885-6983
Practice Address - Street 1:2201 MOUNT VERNON AVE STE 110
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-3312
Practice Address - Country:US
Practice Address - Phone:661-840-8721
Practice Address - Fax:661-885-6983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-23
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health