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JENNIFER NANETTLE RANDOLPH LLC
NPI 1306609292
Private Vehicle in Chicago, IL

Active since February 02, 2024
7715 S COTTAGE GROVE, STE, 1 DPT 198502, CHICAGO, IL 60619(414) 304-4881 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Nanettle Randolph Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER NANETTLE RANDOLPH LLC (NPI 1306609292), doing business as Mizzallthat Spa, is a healthcare organization registered as a private vehicle in Chicago, Illinois and active in the NPI registry since February 2024. The organization lists Jennifer Nanettle Randolph, Manager, as its authorized official.

NPPES Registry Identity

NPI1306609292
Entity TypeOrganization
Primary Taxonomy347C00000X
Legal Business NameJENNIFER NANETTLE RANDOLPH LLC
Location Address7715 S COTTAGE GROVE, STE, 1 DPT 198502Chicago, IL 60619
Mailing Address7715 S Cottage Grove, Ste, 1 Dpt 198502Chicago, IL 60619 · (414) 304-4881
Phone(414) 304-4881
Organization SubpartNo
Authorized OfficialJennifer Nanettle RandolphManager · (414) 304-4881
Enumeration DateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
✔ NPI 1306609292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPrivate VehicleTransportation Services
Taxonomy Code347C00000X
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedHome Delivered MealsTaxonomy 332U00000X
7715 S COTTAGE GROVE, Chicago, IL 60619
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Other Names 1

Doing Business AsMizzallthat Spa

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Nanettle Randolph LLC's NPI number?

The NPI number for Jennifer Nanettle Randolph LLC is 1306609292. It was assigned to this organization in the NPPES registry on February 2, 2024. The provider is doing business as Mizzallthat Spa.

Where is Jennifer Nanettle Randolph LLC located?

Jennifer Nanettle Randolph LLC is located at 7715 S Cottage Grove Ste, 1 Dpt 198502, Chicago, IL 60619. The listed phone number is (414) 304-4881.

What is Jennifer Nanettle Randolph LLC's specialty?

The primary specialty registered for this NPI is Private Vehicle with taxonomy code 347C00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Nanettle Randolph LLC was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.