Provider Demographics
NPI:1508634650
Name:NIMA CARE SUPPORTED LIVING LLP.
Entity Type:Organization
Organization Name:NIMA CARE SUPPORTED LIVING LLP.
Other - Org Name:NIMA CARE SUPPORTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HADIATU
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-325-7714
Mailing Address - Street 1:781 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3160
Mailing Address - Country:US
Mailing Address - Phone:732-325-7714
Mailing Address - Fax:
Practice Address - Street 1:19 PYNE RD
Practice Address - Street 2:
Practice Address - City:SOUTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08824-1012
Practice Address - Country:US
Practice Address - Phone:732-325-7714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health