Provider Demographics
NPI:1861656894
Name:NISSI HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:NISSI HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MESA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-871-6546
Mailing Address - Street 1:6595 NW 36TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6969
Mailing Address - Country:US
Mailing Address - Phone:305-871-6546
Mailing Address - Fax:305-871-6576
Practice Address - Street 1:6595 NW 36TH ST STE 100
Practice Address - Street 2:
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6969
Practice Address - Country:US
Practice Address - Phone:305-871-6546
Practice Address - Fax:305-871-6576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health