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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009975
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182433601 | Medicaid | TX |
Other names 1
- NISSI HOME HEALTH CARE AND PERSONAL ASSISTANCE CARE SERVICES AGENCY
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1046427 | Nissi Home Health Care Agency Inc | Certificate of waiver | Oct 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.