1205125069 NPI number — NICHI ENTERPRISES INC

Table of content: (NPI 1205125069)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205125069 NPI number — NICHI ENTERPRISES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NICHI ENTERPRISES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205125069
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/25/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1151 BLACKWOOD AVE
Provider Second Line Business Mailing Address:
SUITE 170
Provider Business Mailing Address City Name:
OCOEE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34761-4550
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-347-8339
Provider Business Mailing Address Fax Number:
407-347-8394

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1151 BLACKWOOD AVE
Provider Second Line Business Practice Location Address:
SUITE 170
Provider Business Practice Location Address City Name:
OCOEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34761-4550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-347-8339
Provider Business Practice Location Address Fax Number:
407-347-8394
Provider Enumeration Date:
04/01/2011

Additional Information

Authorized Official

Authorized Official Last Name:
SHAH
Authorized Official First Name:
SYED
Authorized Official Middle Name:
HADI
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
407-347-8339

Provider Taxonomy Codes

  • Taxonomy code: 207QS0010X , with the licence number:  ME108175 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 003696100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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