Nightingale Provider Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NIGHTINGALE PROVIDER SERVICES INC.

Practice address

1405 S Fleishel Ave
Suite 315
Tyler, TX 75701-3345

Phone

(903) 509-4440

Fax

(903) 534-8999

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ignay O Nwofia

Title

Vice President

Phone

(903) 509-4440

Specialties & licenses 1

Addresses

Other names 1

• Nightingale Home Health Agency Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747287

Legal name

NIGHTINGALE PROVIDER SERVICES INC.

Doing business as

NIGHTINGALE HOME HEALTH AGENCY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 1, 2009

Last certification

Oct 18, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 25, 2006 in TX

Enrollment address

1405 S Fleishel Ave
Ste 315
Tyler, TX 75701-3348

Listed as

Nightingale Home Health AgencyCCN 747287

Ownership

Proprietary

Certified

Dec 1, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1336334515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S FLEISHEL AVE",
            "address_2": "SUITE 315",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013345",
            "telephone_number": "903-509-4440",
            "fax_number": "903-534-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S FLEISHEL AVE",
            "address_2": "SUITE 315",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013345",
            "telephone_number": "903-509-4440",
            "fax_number": "903-534-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALE PROVIDER SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "NWOFIA",
        "authorized_official_first_name": "IGNAY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "903-509-4440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nightingale Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicosia Enterprises LLC
• Chanda Lea Nicosia, CSFA/LSA
• Rosie M Niebuhr
• Kurt Nielsen, MD
• Jeffrey M Niemann, MD
• Mitra Nikpour, DDS
• Tara Nimri
• Anetta Ninan
• Jennifer Niosi
• Nix Chiropractic

• Home Health Agency in Tyler, TX
• Providers in Tyler, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.