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	251E00000X	Home Health Agency	299993263	FL

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	:	1720286651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSE ON CALL, LLC

Provider Business Mailing Address
First Line	:	1 PARK PLZ
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-6527
Country	:	US
Telephone Number	:	615-344-9551
Fax Number	:

Provider Business Practice Location Address
First Line	:	7411 FULLERTON ST
Second Line	:	STE 106
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-3629
Country	:	US
Telephone Number	:	904-355-2991
Fax Number	:

Authorized Official
Title or Position	:	CFO, HOME HEALTH & HOSPICE
Name	:	WILLIAM BRADLEY PARRISH
Credential	:
Telephone Number	:	512-565-8439

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	06/15/2023

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