Dominique Register

LBN: Professional Registered Services, Llc
Dominique Register is an health care organization with primary practice located at 3207 Tradewinds Trl , Orlando FL 32805-5851. The organization recently has 8 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care, Agencies / Community/Behavioral Health, Agencies / Foster Care Agency, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Home Health is the primary health care specialty. Professional Registered Services, Llc can be contacted via phone (321) 239-7606, or through Register, Dominique via phone (321) 239-7606.

Contact Information

Primary practice address
3207 Tradewinds Trl Orlando FL 32805-5851
Phone: (321) 239-7606
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Register, Dominique Registered Nurse (RN)
Phone: (321) 239-7606

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Nursing Care 251J00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Foster Care Agency 253J00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1144787607
LBN Legal business name Professional Registered Services, Llc
DBA Doing business as Dominique Register
Authorized official Register, Dominique Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2019
Last updated Oct 14th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144787607 NPPES
Florida MEDICAID 104607300
Florida MEDICAID 024196800

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