Nizhoni Healthcare Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NIZHONI HEALTHCARE SERVICES, LLC

Practice address

1330 Page Dr S Ste 200
Fargo, ND 58103-3551

Phone

(701) 639-4183

Fax

(701) 552-7013

NPI assigned

Nov 6, 2020

Last updated

Jul 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thuku Kamau

Title

President

Phone

(508) 373-3087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497356315. Details of each certification follow.

• CCN 357306 Home health agency · Active · Details

Home health agency certification: CCN 357306

Legal name

NIZHONI HEALTHCARE SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 7, 2022

Last certification

Sep 29, 2022

Organization structure

LLCProprietary

Incorporated

Aug 24, 2021 in ND

Enrollment address

1330 Page Dr S
Ste 200
Fargo, ND 58103-3551

Listed as

Nizhoni Healthcare Services, LLCCCN 357306 · All quality measures

Ownership

-

Certified

Oct 7, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1497356315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 PAGE DR S STE 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033551",
            "telephone_number": "701-639-4183",
            "fax_number": "701-552-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 PAGE DR S STE 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033551",
            "telephone_number": "701-639-4183",
            "fax_number": "701-552-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIZHONI HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "KAMAU",
        "authorized_official_first_name": "THUKU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-373-3087"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Nilles, NP
• Agnes T Nimely
• Alyssa Nitschke, MSN RN
• Grace A Nitschke, OT
• Soamsiri Niwattisaiwong, M.D.
• Alhaji Abdulai Njai, OTD
• Susan Wawira Njeru
• Desire B Nkinzingabo
• Jeremie Mazuru Nkinzingabo
• Patience Kazungu Nkinzingabo

• Home Health Agency in Fargo, ND
• Providers in Fargo, ND by specialty
• Home Health Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.