Provider Demographics
NPI:1215088323
Name:ON-CALL NURSING INC
Entity type:Organization
Organization Name:ON-CALL NURSING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TROTTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:910-223-9400
Mailing Address - Street 1:217 ARROWHEAD BLVD
Mailing Address - Street 2:STE A2
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-1169
Mailing Address - Country:US
Mailing Address - Phone:678-610-1416
Mailing Address - Fax:
Practice Address - Street 1:2557 RAVENHILL DR
Practice Address - Street 2:STE D-1
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-9615
Practice Address - Country:US
Practice Address - Phone:910-223-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251G00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251G00000XAgenciesHospice Care, Community Based
Not Answered251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7700408Medicaid
NC6600762Medicaid
NC6601259Medicaid
NC6601299Medicaid
NC3409320Medicaid
NC6601260Medicaid
NC6601432Medicaid