NOVAMIND LLC NPI 1134013683

NPI Information

NPI: 1134013683
Provider Name: NOVAMIND LLC
Classification: Nurse Practitioner - 363LA2100X
Specialization: Acute Care
Entity Type: Organization
Address: 830 CARPENTER AVE
OAK PARK, IL
ZIP 60304
Phone: (708) 427-8700

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NPI Details

NOVAMIND LLC is an acute care nurse practitioner in Oak Park, IL. NOVAMIND LLC NPI is 1134013683. The provider is registered as an organization entity type.

The provider's business location address is:

830 CARPENTER AVE
OAK PARK, IL
ZIP 60304-109
Phone: (708) 427-8700

The provider's authorized official is Meltem Randle .
The authorized official title is Ceo and has the following contact phone number (708) 427-8700.

The enumeration date for this NPI number is 6/6/2025 and was last updated on 6/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	174200000X	Meals		No
2	251E00000X	Home Health		No
3	251F00000X	Home Infusion		No
4	251J00000X	Nursing Care		No
5	251B00000X	Case Management		No
6	253Z00000X	In Home Supportive Care		No
7	310400000X	Assisted Living Facility		No
8	343900000X	Non-emergency Medical Transport (VAN)		No
9	385H00000X	Respite Care		No
10	363LA2100X	Nurse Practitioner	Acute Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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