Nica Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NICA HOME CARE LLC

Practice address

2800 La Frontera Blvd
Apt 3018
Round Rock, TX 78681-7929

Phone

(512) 579-9698

NPI assigned

Jul 13, 2016

Organization subpart

No

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

Authorized official

Name

Bertrand C Ezema Ezema

Title

Owner

Phone

(512) 579-9698

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1053764183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 LA FRONTERA BLVD",
            "address_2": "APT 3018",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817929",
            "telephone_number": "512-579-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 LA FRONTERA BLVD",
            "address_2": "APT 3018",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817929",
            "telephone_number": "512-579-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "EZEMA EZEMA",
        "authorized_official_first_name": "BERTRAND",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-579-9698"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tran Hoang Nguyen, D.O.
• Ty Nguyen, AGACNP-BC
• Victoria Nguyen
• Virginia Trinh Nguyen
• Vu Nguyen
• Misti Nicholson
• Vanessa Nicholson
• Scott A. Nicklebur, MD
• Hirut Nicodimos
• Joy Nicol

• In Home Supportive Care Agency in Round Rock, TX
• Providers in Round Rock, 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 Jul 13, 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.