Provider Demographics
NPI:1366049587
Name:NIEMAN HOME CARE LLC
Entity type:Organization
Organization Name:NIEMAN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MOORE
Authorized Official - Last Name:NIEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:859-283-5500
Mailing Address - Street 1:73 CAVALIER BLVD
Mailing Address - Street 2:STE 127
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-5180
Mailing Address - Country:US
Mailing Address - Phone:859-283-5500
Mailing Address - Fax:859-283-0523
Practice Address - Street 1:73 CAVALIER BLVD STE 127
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-5180
Practice Address - Country:US
Practice Address - Phone:859-283-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health