JENNIFER NANETTLE RANDOLPH LLC; NPI #1306609292

Contact Information

JENNIFER NANETTLE RANDOLPH LLC

7715 S COTTAGE GROVE
STE, 1 DPT 198502
CHICAGO, IL 60619

Phone: 414-304-4881
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Private Vehicle	347C00000X
Home Delivered Meals	332U00000X	87	All Other Suppliers
In Home Supportive Care	253Z00000X

Indicates primary specialty

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NPI Profile & details for JENNIFER NANETTLE RANDOLPH LLC

NPI Number	`1306609292`
LBN Legal business name	JENNIFER NANETTLE RANDOLPH LLC
Authorized official	JENNIFER RANDOLPH - (MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/02/2024
Last updated	02/02/2024 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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