Provider Demographics
NPI:1154337962
Name:NURSES ON CALLS, INC.
Entity type:Organization
Organization Name:NURSES ON CALLS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SYLVERE
Authorized Official - Middle Name:ROLAND
Authorized Official - Last Name:MALONGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MSN
Authorized Official - Phone:630-759-0063
Mailing Address - Street 1:1475 BASSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5419
Mailing Address - Country:US
Mailing Address - Phone:630-759-0069
Mailing Address - Fax:630-759-0327
Practice Address - Street 1:1475 BASSWOOD DR
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490
Practice Address - Country:US
Practice Address - Phone:630-759-0069
Practice Address - Fax:630-759-0327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010232251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========Medicaid