Provider Demographics
NPI:1306170766
Name:NIKKY'S HOME CARE
Entity type:Organization
Organization Name:NIKKY'S HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ONIKE
Authorized Official - Middle Name:DOLLY
Authorized Official - Last Name:LUFADEJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-683-4749
Mailing Address - Street 1:14923 ENGLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3062
Mailing Address - Country:US
Mailing Address - Phone:832-683-4749
Mailing Address - Fax:
Practice Address - Street 1:14923 ENGLEBROOK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-3062
Practice Address - Country:US
Practice Address - Phone:832-683-4749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care