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General NPI Number Information
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NPI Number | 1447197520
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Entity Type | Organization
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Legal Business Name | NIRVANA HEALTHCARE STAFFING LLC
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 5108 MOUNT MARCY RD
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City | LOUISVILLE
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State | KY
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Zip | 40216-1846
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Country | US
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Telephone | 844-674-1363
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Fax |
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Provider Business Mailing Address
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Address Line | 5108 MOUNT MARCY RD
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City | LOUISVILLE
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State | KY
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Zip | 40216-1846
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TINIKA RANDLE
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Credential | RANDLE
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Telephone | 615-674-8383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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