Provider Demographics
NPI:1376225227
Name:POCKETDOOR ENTERPRISES LLC DBA NURSE NEXT DOOR - URBANA
Entity Type:Organization
Organization Name:POCKETDOOR ENTERPRISES LLC DBA NURSE NEXT DOOR - URBANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:RIDDLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:217-377-2456
Mailing Address - Street 1:PO BOX 351
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:IL
Mailing Address - Zip Code:61859-0351
Mailing Address - Country:US
Mailing Address - Phone:217-377-2456
Mailing Address - Fax:
Practice Address - Street 1:115 SOUTH EAST AVE
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:IL
Practice Address - Zip Code:61859-6185
Practice Address - Country:US
Practice Address - Phone:217-377-2456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care