Provider Demographics
NPI:1033743919
Name:NURTURING HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:NURTURING HEALTHCARE SERVICES LLC
Other - Org Name:NURTURING HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAIKHOU
Authorized Official - Middle Name:LOR
Authorized Official - Last Name:HER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:608-889-7400
Mailing Address - Street 1:214 S FORREST ST STE L1
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:WI
Mailing Address - Zip Code:53589-1713
Mailing Address - Country:US
Mailing Address - Phone:608-889-7400
Mailing Address - Fax:
Practice Address - Street 1:214 S FORREST ST STE L1
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:WI
Practice Address - Zip Code:53589-1713
Practice Address - Country:US
Practice Address - Phone:608-889-7400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)