Provider Demographics
NPI:1003032392
Name:PERSONAL RESPONSE CORP
Entity type:Organization
Organization Name:PERSONAL RESPONSE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, CONTRACTS & COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-988-1132
Mailing Address - Street 1:2711 SW 137TH AVE STE 77
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6360
Mailing Address - Country:US
Mailing Address - Phone:800-288-5965
Mailing Address - Fax:
Practice Address - Street 1:2711 SW 137TH AVE STE 77
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6360
Practice Address - Country:US
Practice Address - Phone:800-288-5965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL40554OtherDOUGLAS GARDEN COMMUNITY
FL000000310OtherINDEPENDENT LIVING SYSTEM
FL682957100Medicaid
FL40554OtherCHANNELING II
FL082OtherUNITED HOMECARE SERVICES
FL60-00246OtherEVERCARE
FLSG073343OtherVISTA HEALTHPLAN
FL2402735OtherUNITED HEALTH CARE