Nivie Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

184284 Issued in CA

Legal business name

NIVIE HOME HEALTH SERVICES, INC.

Practice address

23800 Sunnymead Blvd
Suite H
Moreno Valley, CA 92553-0536

Phone

(951) 488-9000

Fax

(951) 346-4000

NPI assigned

Mar 13, 2015

Organization subpart

No

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

Authorized official

Name

Magdalene Agboghidi, OWNER

Title

Manager

Phone

(951) 488-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559030

Legal name

NIVIE HOME HEALTH SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 11, 2019

Last certification

Jul 11, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 26, 2015 in CA

Enrollment address

23800 Sunnymead Blvd
Ste H
Moreno Valley, CA 92553-7731

Listed as

Nivie Home Health Services, IncCCN 559030 · All quality measures

Ownership

Proprietary

Certified

Jul 11, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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 1

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": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1669865630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 SUNNYMEAD BLVD STE H",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537731",
            "telephone_number": "951-488-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 SUNNYMEAD BLVD",
            "address_2": "SUITE H",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925530536",
            "telephone_number": "951-488-9000",
            "fax_number": "951-346-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIVIE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "AGBOGHIDI",
        "authorized_official_first_name": "MAGDALENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-488-9000",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "184284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sina Nia
• Mark Nicosia
• Oksana Niknafs, PHARM.D.
• David John Ninan, D.O.
• Elisabeth Nirschl
• Lucy Njuguna, RN
• Hannah Noh, PHARMD
• Tonae Nolley, B.A
• Alexandria Noor
• Preeti Noronha, CPNP

• Home Health Agency in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.