St Nicholas Project, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST NICHOLAS PROJECT, INC

Doing business as

St Nicholas - Home Health

Practice address

10803 Clubhouse Cir
Magnolia, TX 77354-6915

Phone

(713) 598-3954

NPI assigned

Oct 22, 2011

Organization subpart

No

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

Authorized official

Name

Mr. William Eugene Kimes, CNA

Title

Agent Administrator

Phone

(713) 598-3954

Specialties & licenses 1

Addresses

Other names 1

• St Nicholas - Home Health Doing business as

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

{
    "created_epoch": "1319241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319241600000",
    "number": "1417233495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803 CLUBHOUSE CIR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773546915",
            "telephone_number": "713-598-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10803 CLUBHOUSE CIR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773546915",
            "telephone_number": "713-598-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST NICHOLAS PROJECT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-22",
        "last_updated": "2011-10-22",
        "status": "A",
        "authorized_official_last_name": "KIMES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "AGENT ADMINISTRATOR",
        "authorized_official_telephone_number": "713-598-3954",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Nicholas - Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Magnolia, TX
• Providers in Magnolia, 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 Oct 22, 2011; 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.