Healthcare Provider Details

I. General information

NPI: 1811827462
Provider Name (Legal Business Name): 911 NURSE NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WOODVIEW WAY APT 2105
ANDOVER MA
01810-4586
US

IV. Provider business mailing address

200 WOODVIEW WAY APT 2105
ANDOVER MA
01810-4586
US

V. Phone/Fax

Practice location:
  • Phone: 380-276-3244
  • Fax:
Mailing address:
  • Phone: 380-276-3244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JEFF SUDATI
Title or Position: CO-CEO
Credential:
Phone: 978-979-2102