Provider Demographics
NPI:1164850384
Name:J-NISSI GROUP LLC
Entity Type:Organization
Organization Name:J-NISSI GROUP LLC
Other - Org Name:SHAMMAH MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FOLASADE
Authorized Official - Middle Name:A
Authorized Official - Last Name:AKINTUNDE-OJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-250-6477
Mailing Address - Street 1:PO BOX 807
Mailing Address - Street 2:
Mailing Address - City:ALIEF
Mailing Address - State:TX
Mailing Address - Zip Code:77411-0807
Mailing Address - Country:US
Mailing Address - Phone:832-250-6477
Mailing Address - Fax:713-782-1359
Practice Address - Street 1:8700 COMMERCE PARK DR
Practice Address - Street 2:145
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7497
Practice Address - Country:US
Practice Address - Phone:832-250-6477
Practice Address - Fax:713-782-1359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-25
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health