Provider Demographics
NPI:1497788590
Name:KARING NURSING REGISTRY, INC.
Entity Type:Organization
Organization Name:KARING NURSING REGISTRY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLIER
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:561-506-2811
Mailing Address - Street 1:1 W CAMINO REAL STE 212
Mailing Address - Street 2:SUITE NUMBER 212
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5966
Mailing Address - Country:US
Mailing Address - Phone:561-613-6900
Mailing Address - Fax:561-613-6901
Practice Address - Street 1:1 W CAMINO REAL STE 212
Practice Address - Street 2:SUITE NUMBER 212
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5966
Practice Address - Country:US
Practice Address - Phone:561-613-6900
Practice Address - Fax:561-613-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211240251E00000X
251J00000X, 3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing CareGroup - Single Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012946800Medicaid