Nosidrah Enterprises, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NOSIDRAH ENTERPRISES, LLC

Practice address

4502 Lake Park Dr
Wichita Falls, TX 76302-2808

Phone

(940) 642-5263

NPI assigned

Aug 11, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin Michael Hardison

Title

Owner/Assistant Administrator

Phone

(940) 642-5263

Specialties & licenses 1

Addresses

Other names 1

• No Place Like Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1003360736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 LAKE PARK DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022808",
            "telephone_number": "940-642-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 LAKE PARK DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022808",
            "telephone_number": "940-642-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOSIDRAH ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "940-642-5263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "No Place Like Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.