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PDN NURSING INC NPI 1093890089


NPI Information

NPI: 1093890089
Provider Name: PDN NURSING, INC

Doing Business As: NURSING PRN

Classification: Respite Care - 385HR2060X
Entity Type: Organization

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
1859 AVENUE OF AMERICA
BUILDING 5
MONROE, LA
ZIP 71201
Phone: (318) 324-0144
Get Directions

PDN NURSING, INC is a respite care and mental retardation and/or developmental disabilities respite care in Monroe, LA. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. PDN NURSING, INC NPI is 1093890089. The provider is registered as an organization entity type.
The provider Is Doing Business As Nursing Prn.

The provider's business location address is:

1859 AVENUE OF AMERICA
BUILDING 5
MONROE, LA
ZIP 71201-529
Phone: (318) 324-0144
Fax: (318) 324-0145

The provider's authorized official is Russell M Starns .
The authorized official title is C.e.o. and has the following contact phone number (225) 262-9741.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1385HR2060XRespite CareRespite Care, Intellectual and/or Developmental Disabilities6260LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11103128MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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