Provider Demographics
NPI:1992470488
Name:NIGISTI HISMITH MINISTRIES, INC.
Entity type:Organization
Organization Name:NIGISTI HISMITH MINISTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECT
Authorized Official - Prefix:
Authorized Official - First Name:NIGISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:HISMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-669-9312
Mailing Address - Street 1:424 E CENTRAL BLVD # 545
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1923
Mailing Address - Country:US
Mailing Address - Phone:407-917-2028
Mailing Address - Fax:
Practice Address - Street 1:414 BAXTER AVE STE 205
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-1198
Practice Address - Country:US
Practice Address - Phone:407-917-2028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle