Individual ProviderNichele CalhounLicensed Practical NurseNursing Service ProvidersPractice Address25 Benjoe Dr, Amityville, NY 11701-1633(631) 377-6883PECOS EnrollmentBased on the most recent information from CMS, provider Nichele Calhoun does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1255770103Provider TypeIndividualFull NameCalhoun, NicheleCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date6/24/2013Last Updated6/24/2013Contact InformationPractice LocationPractice Address25 Benjoe Dr, Amityville, NY 11701-1633Phone(631) 377-6883FaxUnlisted FaxMailing LocationMailing Address25 Benjoe Dr, Amityville, NY 11701-1633Phone(631) 377-6883FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense300253-1New York