National Provider Identifier Database

JENNIFER NANETTLE RANDOLPH LLC
Private Vehicle

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.


Contact Information

JENNIFER NANETTLE RANDOLPH LLC
7715 S COTTAGE GROVE
STE, 1 DPT 198502
CHICAGO, IL60619
Phone: 414-304-4881
Fax:
Website:
Specialty Taxonomy Code
* Private Vehicle 347C00000X
Home Delivered Meals 332U00000X
In Home Supportive Care 253Z00000X

* Indicates primary specialty

NPI Profile & details for JENNIFER NANETTLE RANDOLPH LLC

NPI Number 1306609292
Legal business name
LBN
JENNIFER NANETTLE RANDOLPH LLC
Authorized official JENNIFER RANDOLPH - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/02/2024
Last updated 02/02/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JENNIFER NANETTLE RANDOLPH LLC

There are currently no reviews for JENNIFER NANETTLE RANDOLPH LLC


NPIdb - Home
v2.201