Healthcare Provider Details

I. General information

NPI: 1548174030
Provider Name (Legal Business Name): NIVIRAH HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3724 ASPEN SPRINGS DR
ROSENBERG TX
77469-3288
US

IV. Provider business mailing address

3724 ASPEN SPRINGS DR
ROSENBERG TX
77469-3288
US

V. Phone/Fax

Practice location:
  • Phone: 832-988-4392
  • Fax:
Mailing address:
  • Phone: 832-988-4392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: OLIVIA NNENNA UCHE
Title or Position: REGISTERED NURSE
Credential: RN
Phone: 832-988-4392