Provider Demographics
NPI:1225394463
Name:NISSI HEALTH CARE SERVICES, LLC.
Entity Type:Organization
Organization Name:NISSI HEALTH CARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V. PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KWIMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-450-3108
Mailing Address - Street 1:6856 EASTERN AVE NW # 307A
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2165
Mailing Address - Country:US
Mailing Address - Phone:202-450-3108
Mailing Address - Fax:202-450-3109
Practice Address - Street 1:6856 EASTERN AVE NW # 307A
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2165
Practice Address - Country:US
Practice Address - Phone:202-450-3108
Practice Address - Fax:202-450-3109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNSA-0167251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care