Provider Demographics
NPI:1508133760
Name:NURU HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:NURU HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:T
Authorized Official - Last Name:MUSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:614-531-9385
Mailing Address - Street 1:136 W MAIN ST
Mailing Address - Street 2:SUITE 201/202
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-7351
Mailing Address - Country:US
Mailing Address - Phone:614-531-9385
Mailing Address - Fax:
Practice Address - Street 1:136 W MAIN ST
Practice Address - Street 2:SUITE 201/202
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-7351
Practice Address - Country:US
Practice Address - Phone:614-531-9385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health