Provider Demographics
NPI: | 1508093584 |
---|---|
Name: | NURSES PRN OF FLORIDA, LLC |
Entity Type: | Organization |
Organization Name: | NURSES PRN OF FLORIDA, LLC |
Other - Org Name: | CARING HANDS HOMECARE SERVICES |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | BART |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | RICHERT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 863-299-5015 |
Mailing Address - Street 1: | 2250 PALM BEACH LAKES BLVD |
Mailing Address - Street 2: | SUITE # 108 |
Mailing Address - City: | WEST PALM BEACH |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33409-3407 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 561-683-5585 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 603 6TH ST NW |
Practice Address - Street 2: | |
Practice Address - City: | WINTER HAVEN |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33881-4010 |
Practice Address - Country: | US |
Practice Address - Phone: | 863-299-5015 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-06-17 |
Last Update Date: | 2009-06-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | 299993033 | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |