Provider Demographics
NPI:1629387451
Name:PR HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:PR HEALTHCARE SERVICES, INC.
Other - Org Name:@HOME SENIOR CARE MSL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PACI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:561-768-0085
Mailing Address - Street 1:4409 HOFFNER AVE
Mailing Address - Street 2:SUITE 216
Mailing Address - City:BELLE ISLE
Mailing Address - State:FL
Mailing Address - Zip Code:32812-2331
Mailing Address - Country:US
Mailing Address - Phone:561-768-0085
Mailing Address - Fax:561-427-0388
Practice Address - Street 1:1070 E INDIANTOWN RD
Practice Address - Street 2:SUITE 308
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5148
Practice Address - Country:US
Practice Address - Phone:561-768-0085
Practice Address - Fax:561-427-0388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-28
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL231528251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health