Active NPI
Niche Medical Staffing LLC
- In Home Supportive Care Agency
- Fort Lauderdale, FL
National Provider Identifier
1528829660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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 CARE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Niche Home Health Care
- Niche Medical Staffing
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.