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
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
Update your record
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