Jennifer Nanettle Randolph Llc
LBN: Jennifer Nanettle Randolph Llc
Jennifer Nanettle Randolph Llc is an health care organization with primary practice located at 7715 S Cottage Grove Ste, 1 Dpt 198502, Chicago IL 60619. The organization recently has 3 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Suppliers / Home Delivered Meals, Transportation Services / Private Vehicle. Transportation Services / Private Vehicle is the primary health care specialty.
Jennifer Nanettle Randolph Llc can be contacted via phone (414) 304-4881, or through Randolph, Jennifer Nanettle via phone (414) 304-4881.
Contact Information
Primary practice address
7715 S Cottage Grove Ste, 1 Dpt 198502
Chicago IL 60619
Phone: (414) 304-4881
Fax:
Website:
Authorized official contact:
Name: Randolph, Jennifer Nanettle Bachelor of Medicine (BM)
Phone: (414) 304-4881
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Suppliers / Home Delivered Meals | 332U00000X | ||
| Transportation Services / Private Vehicle | 347C00000X |
Profile Details
| NPI number | 1306609292 |
|---|---|
| LBN Legal business name | Jennifer Nanettle Randolph Llc |
| DBA Doing business as | |
| Authorized official | Randolph, Jennifer Nanettle Bachelor of Medicine (BM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2024 |
| Last updated | Feb 2nd, 2024 - about 2 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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