Organization Active NPI

Nimba Holdings, LLC

  • Health Service Clinic/Center
  • Raleigh, NC
National Provider Identifier
1356182901
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NIMBA HOLDINGS, LLC
Practice address
4955 Summit Arbor Dr
Raleigh, NC 27612-3337
Phone
(424) 394-5554
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Saye ZengbeanNPI 1992546667
Title
Coo
Phone
(424) 394-5554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Health Service Clinic/Center 261QH0100X Primary
Medical Foods Supplier 335G00000X

Addresses

Primary practice location

4955 Summit Arbor Dr
Raleigh, NC 27612-3337

Mailing address

3343 Brachenbury LN
Jacksonville, FL 32225-3709

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1356182901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 BRACHENBURY LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 SUMMIT ARBOR DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123337",
            "telephone_number": "424-394-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMBA HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "ZENGBEAN",
        "authorized_official_first_name": "SAYE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "424-394-5554"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.