Provider Demographics
NPI:1154428514
Name:P.R.N. HEALTH SERVICE, INC.
Entity type:Organization
Organization Name:P.R.N. HEALTH SERVICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-824-2181
Mailing Address - Street 1:573 BRADDOCK AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15112-1224
Mailing Address - Country:US
Mailing Address - Phone:412-824-2181
Mailing Address - Fax:412-824-6390
Practice Address - Street 1:573 BRADDOCK AVE
Practice Address - Street 2:
Practice Address - City:EAST PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15112-1224
Practice Address - Country:US
Practice Address - Phone:412-824-2181
Practice Address - Fax:412-824-6390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA21243601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007754970007Medicaid