Provider Demographics
NPI:1659670511
Name:NISCOT HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:NISCOT HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SIMIAT
Authorized Official - Middle Name:OLANIKE
Authorized Official - Last Name:LAWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-645-9213
Mailing Address - Street 1:7010 WOODRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-2712
Mailing Address - Country:US
Mailing Address - Phone:713-645-9213
Mailing Address - Fax:713-645-9217
Practice Address - Street 1:7010 WOODRIDGE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-2712
Practice Address - Country:US
Practice Address - Phone:713-645-9213
Practice Address - Fax:713-645-9217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health