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MS. JOHNNETTA MATRICE NICHOLS
NPI 1861636896
Assisted Living Facility in Houston, TX

Active since April 21, 2009
8209 N. MAIN ST., HOUSTON, TX 77022(713) 692-1414(713) 692-2157 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 26, 2024, Sep 20, 2018 (2 updates tracked since 2018).

About Ms. Johnnetta Matrice Nichols NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JOHNNETTA MATRICE NICHOLS (NPI 1861636896) is an individual assisted living facility provider in Houston, Texas, licensed in Texas (102737) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1861636896
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameMS. JOHNNETTA MATRICE NICHOLS
Location Address8209 N. MAIN ST.Houston, TX 77022
Mailing Address8209 N. Main St.Houston, TX 77022 · (713) 692-1414 · Fax (713) 692-2157
Phone(713) 692-1414
Fax(713) 692-2157
Sole ProprietorYes
Enumeration DateApril 21, 2009
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1861636896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in TX · 102737
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.
8209 N. MAIN ST., Houston, TX 77022
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Other Identifiers 3

MedicaidF500193420TX
Medicaid1861636896TX
Medicaid205828380TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnnetta Nichols's NPI number?

The NPI number for Johnnetta Nichols is 1861636896. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Where is Johnnetta Nichols located?

Johnnetta Nichols practices at 8209 N. Main St., Houston, TX 77022. The listed phone number is (713) 692-1414.

What is Johnnetta Nichols's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Johnnetta Nichols was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.