Organization Active NPI

Niostar Services LLC

  • Community/Behavioral Health Agency
  • Surprise, AZ
National Provider Identifier
1205251543
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
AP4314 Issued in AZ
Legal business name
NIOSTAR SERVICES LLC
Practice address
11974 N 158TH LN
Surprise, AZ 85379-1067
Phone
(248) 890-2078
NPI assigned
Feb 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Chisomnazu Winifred Iweha-Ononye, NP
Title
Director
Phone
(248) 890-2078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X AP4314 AZ Primary

Addresses

Primary practice location

11974 N 158TH LN
Surprise, AZ 85379-1067

Mailing address

11974 N 158TH LN
Surprise, AZ 85379-1067
Phone (248) 890-2078

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1205251543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11974 N 158TH LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853791067",
            "telephone_number": "248-890-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11974 N 158TH LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853791067",
            "telephone_number": "248-890-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIOSTAR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "IWEHA-ONONYE",
        "authorized_official_first_name": "CHISOMNAZU",
        "authorized_official_middle_name": "WINIFRED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-890-2078",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "AP4314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.