=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669062287
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NUCLEAR WORKER SOLUTIONS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/19/2021
-----------------------------------------------------
Last Update Date | 10/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 301 E EMMITT AVE STE 1
-----------------------------------------------------
City | WAVERLY
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45690-1339
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 636-293-4976
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4582 W DAYBREAK RIM WAY
-----------------------------------------------------
City | SOUTH JORDAN
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84009-5002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 636-293-4976
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | NATALIE CAVALLARO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 636-293-4976
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------