Healthcare Provider Details

I. General information

NPI: 1073304895
Provider Name (Legal Business Name): NIRVANA HEALTHCARE STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 CAPEHART DR
SAGINAW MI
48601-4508
US

IV. Provider business mailing address

2704 CAPEHART DR
SAGINAW MI
48601-4508
US

V. Phone/Fax

Practice location:
  • Phone: 615-674-8383
  • Fax:
Mailing address:
  • Phone: 615-674-8383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TINIKA RANDLE
Title or Position: CEO
Credential:
Phone: 615-674-8383