Pocketdoor Enterprises LLC Dba Nurse Next Door - Urbana

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

POCKETDOOR ENTERPRISES LLC DBA NURSE NEXT DOOR - URBANA

Doing business as

Nurse Next Door - Urbana, IL

Practice address

115 South East Ave
Ogden, IL 61859-6185

Phone

(217) 377-2456

NPI assigned

Aug 1, 2023

Last updated

Aug 1, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Suzanne Riddle, RNNPI 1194113738

Title

Owner/Director of Nursing

Phone

(217) 377-2456

Specialties & licenses 3

Addresses

Other names 1

• Nurse Next Door - Urbana, IL Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Suzanne Riddle, RN

  • Registered Nurse
  • Urbana, IL
  • NPI 1194113738
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1376225227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "OGDEN",
            "state": "IL",
            "postal_code": "618590351",
            "telephone_number": "217-377-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SOUTH EAST AVE",
            "city": "OGDEN",
            "state": "IL",
            "postal_code": "618596185",
            "telephone_number": "217-377-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCKETDOOR ENTERPRISES LLC DBA NURSE NEXT DOOR - URBANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "217-377-2456",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurse Next Door - Urbana, IL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josie Mitchell, MSW, LCSW
• Ruby Waves of Wellness (Josie D Mitchell)
• Ruby Waves of Wellness, PLLC
• Waqaar Salim
• Steven Eric Stammer, NP

• Home Health Agency in Ogden, IL
• Providers in Ogden, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.