Provider Demographics
NPI:1962087346
Name:CONNECT THE CARE NURSING SOLUTIONS LLC
Entity type:Organization
Organization Name:CONNECT THE CARE NURSING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILCOXSON
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:708-965-1560
Mailing Address - Street 1:PO BOX 270
Mailing Address - Street 2:
Mailing Address - City:BEECHER
Mailing Address - State:IL
Mailing Address - Zip Code:60401-0270
Mailing Address - Country:US
Mailing Address - Phone:708-965-1560
Mailing Address - Fax:
Practice Address - Street 1:29891 TRIM CREEK LN
Practice Address - Street 2:
Practice Address - City:BEECHER
Practice Address - State:IL
Practice Address - Zip Code:60401-3775
Practice Address - Country:US
Practice Address - Phone:708-625-7771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty