Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Nanettle Randolph LLC

Organization In Home Supportive Care Agency · NPI 1306609292

Jennifer Nanettle Randolph LLC is an In Home Supportive Care Agency in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7715 S Cottage Grv Ste 1 Dpt 198502
Chicago, IL 60619
Phone: (414) 304-4881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Private Vehicle (primary) Taxonomy 347C00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Home Delivered Meals Taxonomy 332U00000X

Record details

NPI number1306609292
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Randolph — Manager · (414) 304-4881
Other names Mizzallthat Spa
NPI enumeratedFebruary 2, 2024
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024
Mailing address7715 S Cottage Grove, Ste, 1 Dpt 198502, Chicago, IL 60619

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