Provider Demographics
NPI:1164184982
Name:NISSI ROHI GROUP LLC
Entity Type:Organization
Organization Name:NISSI ROHI GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NELLY
Authorized Official - Middle Name:K
Authorized Official - Last Name:NAMUGAMBE
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:818-942-4603
Mailing Address - Street 1:5410 QUAKERTOWN AVE APT 107
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2523
Mailing Address - Country:US
Mailing Address - Phone:818-942-4603
Mailing Address - Fax:
Practice Address - Street 1:5410 QUAKERTOWN AVE APT 107
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2523
Practice Address - Country:US
Practice Address - Phone:818-942-4603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NISSI ROHI GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-08
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health