Provider Demographics
NPI:1972383909
Name:NERTEXTRIYM LLC
Entity type:Organization
Organization Name:NERTEXTRIYM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:WLEDOH
Authorized Official - Middle Name:
Authorized Official - Last Name:PAELAY
Authorized Official - Suffix:
Authorized Official - Credentials:MSN-ED, RN, CNECL
Authorized Official - Phone:614-749-8065
Mailing Address - Street 1:1761 N SHERMAN DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46218-4498
Mailing Address - Country:US
Mailing Address - Phone:216-268-4348
Mailing Address - Fax:
Practice Address - Street 1:1761 N SHERMAN DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-4498
Practice Address - Country:US
Practice Address - Phone:216-268-4348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)