# NOVAMIND LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NovaMind
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134013683
- **Authorized official:** MELTEM RANDLE AGACNP-BC (CEO)
- **Authorized official phone:** (708) 427-8700

## Contact information

- **Practice address:** 830 CARPENTER AVE, OAK PARK, IL 60304-1109
- **Practice address phone:** (708) 427-8700
- **Mailing address:** 830 CARPENTER AVE, OAK PARK, IL 60304-1109
- **Mailing address phone:** (708) 427-8700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/06/2025
- **Last updated:** 06/06/2025