Provider Demographics
NPI:1659866861
Name:TRUSTED HOME CARE SERVICES NURSE REGISTRY
Entity Type:Organization
Organization Name:TRUSTED HOME CARE SERVICES NURSE REGISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PLONKSY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-998-6039
Mailing Address - Street 1:6971 N FEDERAL HWY STE 203
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1648
Mailing Address - Country:US
Mailing Address - Phone:561-998-6039
Mailing Address - Fax:
Practice Address - Street 1:6750 N ANDREWS AVE STE 200
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-2180
Practice Address - Country:US
Practice Address - Phone:561-998-6039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRUSTED HOME CARE SERVICES NURSE REGISTRY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-29
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211662251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health