MEDICARE: NIGISTI HISMITH MINISTRIES, 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1043143720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NIGISTI HISMITH MINISTRIES, INC.

Provider Business Mailing Address
First Line	:	800 E CHESTNUT ST APT 1A
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40204-1182
Country	:	US
Telephone Number	:	407-917-2028
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E CHESTNUT ST APT 1A
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40204-1182
Country	:	US
Telephone Number	:	407-917-2028
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	NIGISTI HISMITH
Credential	:
Telephone Number	:	407-917-2028

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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