Organization Active NPI

Nissi Home Health Care Agency Inc

Doing business as Nissi Home Health Care and Personal Assistance Care Services Agency

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1700895737
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009975 Issued in TX
Legal business name
NISSI HOME HEALTH CARE AGENCY INC
Doing business as
Nissi Home Health Care and Personal Assistance Care Services Agency
Practice address
9894 Bissonnet St Ste 620
Houston, TX 77036-8244
Phone
(281) 313-1874
Fax
(281) 313-1875
NPI assigned
Aug 7, 2006
Last updated
Dec 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Mrs. Adijat Temilola Akinbayo, RN.
Title
Alt. Administrator
Phone
(281) 313-1874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009975 TX Primary

Addresses

Primary practice location

9894 Bissonnet St Ste 620
Houston, TX 77036-8244

Mailing address

4411 Bluebonnet Dr Ste 101
Stafford, TX 77477-2912
Phone (281) 313-1874

Other identifiers 1

IdentifierTypeStateIssuer
182433601MedicaidTX

Other names 1

  • NISSI HOME HEALTH CARE AND PERSONAL ASSISTANCE CARE SERVICES AGENCY Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1046427Nissi Home Health Care Agency Inc9894 Bissonnet Street, Ste 620, Houston, TX 77036Certificate of waiverOct 6, 2027

National Provider Directory

National Provider Directory

Locations

9894 Bissonnet St
Ste 620
Houston, TX 77036
Phone (281) 313-1874

4411 Bluebonnet Dr
Ste 101
Stafford, TX 77477
Phone (281) 313-1874

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1700895737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 BLUEBONNET DR STE 101",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772912",
            "telephone_number": "281-313-1874",
            "fax_number": "281-313-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 BISSONNET ST STE 620",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368244",
            "telephone_number": "281-313-1874",
            "fax_number": "281-313-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISSI HOME HEALTH CARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "AKINBAYO",
        "authorized_official_first_name": "ADIJAT",
        "authorized_official_middle_name": "TEMILOLA",
        "authorized_official_title_or_position": "ALT. ADMINISTRATOR",
        "authorized_official_telephone_number": "281-313-1874",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182433601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NISSI HOME HEALTH CARE AND PERSONAL ASSISTANCE CARE SERVICES AGENCY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NISSI HOME HEALTH CARE AND PERSONAL ASSISTANCE CARE SERVICES AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.