Organization · Type 2 NPI

Solid Source Healthcare Resources LLC Home Services

Nursing Care Agency · Ottawa, IL

NPI number 1467754994 Active

Practice location

100 W Superior St, Unit 1
Ottawa, IL 61350-2093

Call (815) 324-9396 Map

Fax (888) 577-1171

Mailing address

911 Ottawa Ave, Unit 2
Ottawa, IL 61350-3321

Specialties and licenses

Taxonomy	Code	License
Nursing Care Agency Primary	251J00000X	4000322 (IL)

Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

NPI record

NPI: 1467754994
Entity type: Organization (Type 2)
Issued: Dec 5, 2010
Last updated: Jun 10, 2013
Status: Active
Subpart: Yes of Solid Source Healthcare Resources LLC

Other names

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Solid Source Healthcare Resources LLC · doing business as

Authorized official

Ms. Tosheta D Brown-Greenfield, RN
President
(815) 324-9396

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467754994

Solid Source Healthcare Resources LLC Home Services's National Provider Identifier is 1467754994, issued on Dec 5, 2010. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in Ottawa, IL. The record was last updated on Jun 10, 2013.