1316177850 NPI number — NURSES REGISTRY AND HOME HEALTH CORPORATION

Table of content: (NPI 1316177850)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316177850 NPI number — NURSES REGISTRY AND HOME HEALTH CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NURSES REGISTRY AND HOME HEALTH CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NR HOME HEALTH
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316177850
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/11/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 VENTURE CT
Provider Second Line Business Mailing Address:
SUITE 1A
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40511-2615
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-255-4411
Provider Business Mailing Address Fax Number:
859-253-6544

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4720 SALISBURY RD
Provider Second Line Business Practice Location Address:
SUITE 107
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32256-6101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-685-8866
Provider Business Practice Location Address Fax Number:
904-685-8867
Provider Enumeration Date:
07/17/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HOUSE
Authorized Official First Name:
LENNIE
Authorized Official Middle Name:
G
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
859-255-4411

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  299992788 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)