Healthcare Provider Details

I. General information

NPI: 1497660088
Provider Name (Legal Business Name): NINIS KITCHEN HAITIAN CUISINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2154 CHADWICK CIR
IMMOKALEE FL
34142-5557
US

IV. Provider business mailing address

2154 CHADWICK CIR
IMMOKALEE FL
34142-5557
US

V. Phone/Fax

Practice location:
  • Phone: 561-286-7319
  • Fax:
Mailing address:
  • Phone: 561-286-7319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MS. MINOUCHE LOUIS
Title or Position: OWNER
Credential:
Phone: 561-286-7319