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Organization
NOVAMIND LLC
Active
Organization
NOVAMIND LLC
Active
Other names
NovaMind
Organization subpart
No
Provider details
NPI number
Authorized official
MELTEM RANDLE AGACNP-BC (CEO)
(708) 427-8700
Entity
Organization
Contact information
Practice address
830 CARPENTER AVE, OAK PARK, IL 60304-1109
(708) 427-8700
Mailing address
830 CARPENTER AVE, OAK PARK, IL 60304-1109
(708) 427-8700
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
310400000X
Assisted Living Facility
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
363LA2100X
Acute Care Nurse Practitioner
Primary
—
NULL
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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