Provider Demographics
NPI:1033745880
Name:NURTURING HEARTS HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:NURTURING HEARTS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:M
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-305-7463
Mailing Address - Street 1:5372 COMMONS CT
Mailing Address - Street 2:
Mailing Address - City:VA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3534
Mailing Address - Country:US
Mailing Address - Phone:757-305-7463
Mailing Address - Fax:
Practice Address - Street 1:5372 COMMONS CT
Practice Address - Street 2:
Practice Address - City:VA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3534
Practice Address - Country:US
Practice Address - Phone:757-305-7463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health