Provider Demographics
NPI:1588843775
Name:NURSING CARE PRN INC
Entity Type:Organization
Organization Name:NURSING CARE PRN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LUENYS
Authorized Official - Middle Name:
Authorized Official - Last Name:OQUENDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-704-7533
Mailing Address - Street 1:5545 SW 8TH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2286
Mailing Address - Country:US
Mailing Address - Phone:305-704-7533
Mailing Address - Fax:305-704-7527
Practice Address - Street 1:5545 SW 8TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2286
Practice Address - Country:US
Practice Address - Phone:305-704-7533
Practice Address - Fax:305-704-7527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992464251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109248Medicare PIN