Provider Demographics
NPI:1497356315
Name:NIZHONI HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:NIZHONI HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THUKU
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-373-3087
Mailing Address - Street 1:1330 PAGE DR S STE 200
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-3551
Mailing Address - Country:US
Mailing Address - Phone:701-639-4183
Mailing Address - Fax:701-552-7013
Practice Address - Street 1:1330 PAGE DR S STE 200
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-3551
Practice Address - Country:US
Practice Address - Phone:701-639-4183
Practice Address - Fax:701-552-7013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health