Provider Demographics
NPI:1538645874
Name:NURTA HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:NURTA HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OGECHUKWU
Authorized Official - Middle Name:PHILOMENA
Authorized Official - Last Name:ANUTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-300-7495
Mailing Address - Street 1:330 LYNNWAY STE 346
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901-1713
Mailing Address - Country:US
Mailing Address - Phone:781-300-7495
Mailing Address - Fax:781-300-7785
Practice Address - Street 1:330 LYNNWAY STE 346
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-1713
Practice Address - Country:US
Practice Address - Phone:781-300-7495
Practice Address - Fax:781-300-7785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-18
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care