Healthcare Provider Details

I. General information

NPI: 1154203891
Provider Name (Legal Business Name): READY NURSE HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5396 STONE COVE DR SW
ATLANTA GA
30331-8917
US

IV. Provider business mailing address

5396 STONE COVE DR SW
ATLANTA GA
30331-8917
US

V. Phone/Fax

Practice location:
  • Phone: 708-359-9919
  • Fax:
Mailing address:
  • Phone: 708-359-9919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State

VIII. Authorized Official

Name: ANDREA BROWN
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 708-359-9919