Provider Demographics
NPI:1376238808
Name:NURTURING HANDS HOME HEALTHCARE
Entity Type:Organization
Organization Name:NURTURING HANDS HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MENTOR-SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-370-5556
Mailing Address - Street 1:18-20 LACKAWANNA PLZ # 200
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-3642
Mailing Address - Country:US
Mailing Address - Phone:862-621-6321
Mailing Address - Fax:
Practice Address - Street 1:18-20 LACKAWANNA PLZ # 200
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3642
Practice Address - Country:US
Practice Address - Phone:862-621-6321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care