MEDICARE: NIMA HEALTH CARE SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1023602109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIMA HEALTH CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	13111 WESTHEIMER RD STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-5520
Country	:	US
Telephone Number	:	281-824-6622
Fax Number	:	281-824-6633

Provider Business Practice Location Address
First Line	:	13111 WESTHEIMER RD STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-5520
Country	:	US
Telephone Number	:	281-824-6622
Fax Number	:	281-824-6633

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ROXANA VELAZQUEZ
Credential	:
Telephone Number	:	281-824-6622

Provider Enumeration Date	:	03/01/2021
Last Update Date	:	01/05/2022

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