Provider Demographics
NPI: | 1477333110 |
---|---|
Name: | ON CALL NURSING SERIVCES LLC |
Entity Type: | Organization |
Organization Name: | ON CALL NURSING SERIVCES LLC |
Other - Org Name: | GINA HUTCHINS ESTALELLA ON CALL NURSING SERVICES |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | GINA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HUTCHINS ESTALELLA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | REGISTRED NURSE |
Authorized Official - Phone: | 754-423-9476 |
Mailing Address - Street 1: | 7605 DAVIE ROAD EXT |
Mailing Address - Street 2: | |
Mailing Address - City: | HOLLYWOOD |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33024-2623 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 754-423-9476 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 7605 DAVIE ROAD EXT |
Practice Address - Street 2: | |
Practice Address - City: | HOLLYWOOD |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33024-2623 |
Practice Address - Country: | US |
Practice Address - Phone: | 754-423-9476 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-10-02 |
Last Update Date: | 2024-03-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 163WG0000X | Nursing Service Providers | Registered Nurse | General Practice | Group - Multi-Specialty |
Yes | 376J00000X | Nursing Service Related Providers | Homemaker | Group - Single Specialty | |
No | 163WA2000X | Nursing Service Providers | Registered Nurse | Administrator | Group - Multi-Specialty |
No | 163WC0200X | Nursing Service Providers | Registered Nurse | Critical Care Medicine | Group - Multi-Specialty |
No | 163WH0200X | Nursing Service Providers | Registered Nurse | Home Health | Group - Multi-Specialty |
No | 163WH1000X | Nursing Service Providers | Registered Nurse | Hospice | Group - Multi-Specialty |
No | 163WI0500X | Nursing Service Providers | Registered Nurse | Infusion Therapy | Group - Multi-Specialty |
No | 163WI0600X | Nursing Service Providers | Registered Nurse | Infection Control | Group - Multi-Specialty |
No | 163WR0400X | Nursing Service Providers | Registered Nurse | Rehabilitation | Group - Multi-Specialty |
No | 163WS0121X | Nursing Service Providers | Registered Nurse | Plastic Surgery | Group - Multi-Specialty |
No | 163WX1500X | Nursing Service Providers | Registered Nurse | Ostomy Care | Group - Multi-Specialty |
No | 164W00000X | Nursing Service Providers | Licensed Practical Nurse | Group - Multi-Specialty | |
No | 164X00000X | Nursing Service Providers | Licensed Vocational Nurse | Group - Multi-Specialty | |
No | 364SL0600X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Long-Term Care | Group - Multi-Specialty |
No | 376K00000X | Nursing Service Related Providers | Nurse's Aide | Group - Multi-Specialty |