Provider Demographics
NPI:1316411598
Name:NIK HOME CARE LLC
Entity Type:Organization
Organization Name:NIK HOME CARE LLC
Other - Org Name:NIK HOME CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NASREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-633-8910
Mailing Address - Street 1:1408 SUMMIT AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-8115
Mailing Address - Country:US
Mailing Address - Phone:972-633-8910
Mailing Address - Fax:972-633-8912
Practice Address - Street 1:1408 SUMMIT AVE STE 7
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-8115
Practice Address - Country:US
Practice Address - Phone:972-633-8910
Practice Address - Fax:972-633-8912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-21
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care