Amieda Services LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

AMIEDA SERVICES LLC

Practice address

18302 Palisade Rock Court
Richmond, TX 77407

Phone

(832) 670-5907

NPI assigned

Apr 22, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel Siminialayi Jaja Park

Title

Manager

Phone

(832) 670-5907

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1841810660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18302 PALISADE ROCK COURT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "832-670-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18302 PALISADE ROCK COURT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "832-670-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIEDA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "JAJA PARK",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "SIMINIALAYI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-670-5907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amity Concepts LLC

• Home Health Registered Nurse in Richmond, TX
• Providers in Richmond, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.