Provider Demographics
NPI:1962388835
Name:NIMPS GOODLIVING SERVICES LLC
Entity type:Organization
Organization Name:NIMPS GOODLIVING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:NKOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-270-4306
Mailing Address - Street 1:2166 NOTTOWAY DR
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1095
Mailing Address - Country:US
Mailing Address - Phone:682-270-4306
Mailing Address - Fax:
Practice Address - Street 1:6802 PARAGON PL STE 410-068
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1644
Practice Address - Country:US
Practice Address - Phone:682-270-4306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care