Maureen G Holmgren Nimmo

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

500128 Issued in KY

Legal business name

MAUREEN G HOLMGREN NIMMO

Doing business as

Nimmo Home Health Care

Practice address

867 Darnell Rd
Benton, KY 42025-6903

Phone

(270) 205-6624

Fax

(270) 933-4031

NPI assigned

May 12, 2011

Last updated

Jul 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maureen G Nimmo

Title

Owner

Phone

(270) 205-6624

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nimmo Home Health Care Doing business as

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1922390749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 DARNELL RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420256903",
            "telephone_number": "270-205-6624",
            "fax_number": "270-933-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 DARNELL RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420256903",
            "telephone_number": "270-205-6624",
            "fax_number": "270-933-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN G HOLMGREN NIMMO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "NIMMO",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-205-6624"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "KY",
            "license": "500128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "615770800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nimmo Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Companion in Benton, KY
• Providers in Benton, KY by specialty
• Adult Companion in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.