Provider Demographics
NPI:1043018989
Name:NONGLEM HEALTHCARE SERVICES
Entity type:Organization
Organization Name:NONGLEM HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:Y SOPHIE MATILDE
Authorized Official - Middle Name:
Authorized Official - Last Name:COMPAORE ROUAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:920-707-2685
Mailing Address - Street 1:3325 N SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-7218
Mailing Address - Country:US
Mailing Address - Phone:920-707-2685
Mailing Address - Fax:
Practice Address - Street 1:3325 N SPRUCE ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-7218
Practice Address - Country:US
Practice Address - Phone:920-707-2685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty