MEDICARE: ON CALL NURSING SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1477333110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON CALL NURSING SERVICES LLC

Provider Business Mailing Address
First Line	:	7605 DAVIE ROAD EXT
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-2623
Country	:	US
Telephone Number	:	754-423-9476
Fax Number	:

Provider Business Practice Location Address
First Line	:	7605 DAVIE ROAD EXT
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-2623
Country	:	US
Telephone Number	:	754-423-9476
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GINA HUTCHINS ESTALELLA
Credential	:	REGISTRED NURSE
Telephone Number	:	754-423-9476

Provider Enumeration Date	:	10/02/2023
Last Update Date	:	05/24/2024

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Directions to “ON CALL NURSING SERVICES LLC ” Practice Location

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