MS. JOHNNETTA MATRICE NICHOLS


Address: 8209 N. Main St., Houston, TX 77022
Phone: 7136921414

MS. JOHNNETTA MATRICE NICHOLS (NPI# 1861636896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861636896
Entity Type Individual
Full Name MS. JOHNNETTA MATRICE NICHOLS
Practice Address 8209 N. Main St.
Houston
TX 77022
Practice Telephone 7136921414
Practice Fax Number 7136922157
Mailing Telephone 7136921414
Mailing Fax Number 7136922157
Enumeration Date 2009-04-21
Last Update Date 2018-09-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 310400000X Assisted Living Facility Nursing & Custodial Care Facilities
Y 310400000X Assisted Living Facility 102737 TX Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 1861636896 05
TX F500193420 05
TX 205828380 05

Office Location

Street Address 8209 N. MAIN ST.
City HOUSTON
State TX
Zip Code 77022

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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912507690 Bolville LLC Assisted Living Facility 9898 Bissonnet St Ste 419, Houston, TX 77036-8025 2020-10-30
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1033737556 Genoa Senior Inc Assisted Living Facility 12809 Almeda Genoa Rd, Houston, TX 77034-4637 2020-07-10
1891313870 William Andrew Miller Jr. Assisted Living Facility 9715 Beckwood Post Dr, Houston, TX 77095-5077 2020-07-07
1700400405 Carewood Home LLC Assisted Living Facility 15526 Empanada Dr, Houston, TX 77083-4033 2020-05-29
1811518863 Heavenly Manor Assisted Living LLC Assisted Living Facility 12802 Leitrim Way, Houston, TX 77047-3726 2020-04-30
1740814185 Above All Needs LLC Assisted Living Facility 13423 Country Path Way, Houston, TX 77038-2448 2020-02-25
1104456185 River Oaks Senior Living LLC Assisted Living Facility 4 Briar Dale Ct, Houston, TX 77027 2020-01-18
1750920914 Home of Blessing Assisted Living Facility 13346 Silverglen Run Trl, Houston, TX 77014-2225 2020-01-04
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Competitor

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City HOUSTON
Zip Code 77022

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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