Organization Active NPI

Niche Medical Staffing LLC

  • In Home Supportive Care Agency
  • Fort Lauderdale, FL
National Provider Identifier
1528829660
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NICHE MEDICAL STAFFING LLC
Doing business as
Niche Home Care Services
Niche Home Health Care
Niche Medical Staffing
Practice address
3081 E Commercial Blvd Ste 103
Fort Lauderdale, FL 33308-4329
Phone
(260) 602-9820
NPI assigned
Jan 16, 2024
Organization subpart
Yes
Parent organization
NICHE MEDICAL HOME CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Erika Wilson, REGISTERED NURSE
Title
President
Phone
(260) 602-9820

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

3081 E Commercial Blvd Ste 103
Fort Lauderdale, FL 33308-4329

Mailing address

6633 E State Blvd Ste 125a
Fort Wayne, IN 46815-7035

Other practice location 1

6633 E State Blvd Ste 125A
Fort Wayne, IN 46815-7035
Phone (260) 580-8658

Other names 3

  • Niche Home Care Services Doing business as
  • Niche Home Health Care Doing business as
  • Niche Medical Staffing Doing business as

National Provider Directory

National Provider Directory
Part of
Niche Medical Staffing LLC

Locations

3081 E Commercial Blvd
Ste 103
Fort Lauderdale, FL 33308
Phone (260) 602-9820

6633 E State Blvd
Ste 125A
Fort Wayne, IN 46815
Phone (260) 580-8658

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1528829660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 E STATE BLVD STE 125A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 E COMMERCIAL BLVD STE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084329",
            "telephone_number": "260-602-9820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6633 E State Blvd Ste 125A",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468157035",
            "country_code": "US",
            "telephone_number": "260-580-8658",
            "fax_number": "260-818-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICHE MEDICAL STAFFING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NICHE MEDICAL HOME CARE",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-602-9820",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Niche Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Niche Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Niche Medical Staffing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.