Provider Demographics
NPI:1508807801
Name:NET 30, INC.
Entity Type:Organization
Organization Name:NET 30, INC.
Other - Org Name:PATIENT RESOURCES COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-228-1994
Mailing Address - Street 1:75 MAIDEN LN
Mailing Address - Street 2:7TH FLOOR ATT: KELVIN NG
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4819
Mailing Address - Country:US
Mailing Address - Phone:212-228-1994
Mailing Address - Fax:212-405-2390
Practice Address - Street 1:75 MAIDEN LN
Practice Address - Street 2:7TH FLOOR ATT: KELVIN NG
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4819
Practice Address - Country:US
Practice Address - Phone:212-228-1994
Practice Address - Fax:212-405-2390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA 299991426251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107733Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER