Provider Demographics
NPI:1598517922
Name:NURTURING BY FAITH HOME CARE, LLC
Entity Type:Organization
Organization Name:NURTURING BY FAITH HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:TRENEE
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-343-5057
Mailing Address - Street 1:8 FOX MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:CAHOKIA HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:62206-2503
Mailing Address - Country:US
Mailing Address - Phone:618-343-5057
Mailing Address - Fax:
Practice Address - Street 1:8 FOX MEADOW LN
Practice Address - Street 2:
Practice Address - City:CAHOKIA HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:62206-2503
Practice Address - Country:US
Practice Address - Phone:618-343-5057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care