Provider Demographics
NPI:1639641087
Name:NIVEIN CARE
Entity Type:Organization
Organization Name:NIVEIN CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-735-5412
Mailing Address - Street 1:16W115 HILLSIDE LN
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-6269
Mailing Address - Country:US
Mailing Address - Phone:813-735-5412
Mailing Address - Fax:
Practice Address - Street 1:16W115 HILLSIDE LN
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-6269
Practice Address - Country:US
Practice Address - Phone:813-735-5412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care