Provider Demographics
NPI:1508562851
Name:CONTRACT NURSING LLC
Entity Type:Organization
Organization Name:CONTRACT NURSING LLC
Other - Org Name:MEGA HEALTH LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:
Authorized Official - Last Name:PUOMAAYE KONTA
Authorized Official - Suffix:
Authorized Official - Credentials:RN-MSN
Authorized Official - Phone:131-277-4531
Mailing Address - Street 1:7220 S SOUTH SHORE DR APT 406
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-2751
Mailing Address - Country:US
Mailing Address - Phone:312-774-3153
Mailing Address - Fax:
Practice Address - Street 1:7220 S SOUTH SHORE DR APT 406
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-2751
Practice Address - Country:US
Practice Address - Phone:312-774-5315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility