Organization Active NPI

Nirvana Healthcare Staffing LLC

  • In Home Supportive Care Agency
  • Louisville, KY
National Provider Identifier
1447197520
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NIRVANA HEALTHCARE STAFFING LLC
Practice address
5108 Mount Marcy Rd
Louisville, KY 40216-1846
Phone
(844) 674-1363
NPI assigned
Apr 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Tinika Randle, RANDLE
Title
Owner
Phone
(615) 674-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5108 Mount Marcy Rd
Louisville, KY 40216-1846

Mailing address

5108 Mount Marcy Rd
Louisville, KY 40216-1846

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1447197520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 MOUNT MARCY RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 MOUNT MARCY RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161846",
            "telephone_number": "844-674-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA HEALTHCARE STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "RANDLE",
        "authorized_official_first_name": "TINIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-674-8383",
        "authorized_official_credential": "RANDLE"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.