1013112028 NPI number — PNR INC

Table of content: (NPI 1013112028)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013112028 NPI number — PNR INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PNR INC
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:
SITTER SERVICES OF WESTERN KENTUCKY PADURAH NURSES REGRISTY
Provider Other Organization Name Type Code:
5
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:
1013112028
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
60 LAKEVIEW DRIVE
Provider Second Line Business Mailing Address:
SUITE #1
Provider Business Mailing Address City Name:
PADUCAH
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42001-5633
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-554-7344
Provider Business Mailing Address Fax Number:
270-554-9666

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
60 LAKEVIEW DRIVE
Provider Second Line Business Practice Location Address:
SUITE #1
Provider Business Practice Location Address City Name:
PADUCAH
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42001-5633
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-554-7344
Provider Business Practice Location Address Fax Number:
270-554-9666
Provider Enumeration Date:
06/19/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WALKER
Authorized Official First Name:
CINDY
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
270-554-7344

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 70039999 . This is a "US DEPARTMENT OF LABOR" identifier . This identifiers is of the category "OTHER".