Provider Demographics
NPI:1164010385
Name:NURTURE VALLEY HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:NURTURE VALLEY HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTORINO
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-226-3268
Mailing Address - Street 1:35 E 10TH ST STE E2
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-4066
Mailing Address - Country:US
Mailing Address - Phone:209-226-3268
Mailing Address - Fax:
Practice Address - Street 1:35 E 10TH ST STE E2
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-4066
Practice Address - Country:US
Practice Address - Phone:209-226-3268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health