MEDICARE: NURSE ON CALL 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	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588450787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSE ON CALL LLC

Provider Business Mailing Address
First Line	:	26250 EUCLID AVE STE 901
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44132-3696
Country	:	US
Telephone Number	:	216-327-2946
Fax Number	:

Provider Business Practice Location Address
First Line	:	26250 EUCLID AVE STE 901
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44132-3696
Country	:	US
Telephone Number	:	216-327-2946
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TEQUISHA HALL
Credential	:
Telephone Number	:	216-327-2946

Provider Enumeration Date	:	04/16/2025
Last Update Date	:	04/16/2025

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Directions to “NURSE ON CALL LLC ” Practice Location

Language	Start Address	Practice Location

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