Provider Demographics
NPI:1609526219
Name:NURTURED AT HOME HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:NURTURED AT HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MRS
Authorized Official - First Name:AVRIL
Authorized Official - Middle Name:ANDRENE
Authorized Official - Last Name:TAYLOR NEE WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-885-1853
Mailing Address - Street 1:1332 SULPHUR SPRING ROAD
Mailing Address - Street 2:STE 208
Mailing Address - City:HALETHORPE
Mailing Address - State:MD
Mailing Address - Zip Code:21227
Mailing Address - Country:US
Mailing Address - Phone:240-885-1853
Mailing Address - Fax:
Practice Address - Street 1:1332 SULPHUR SPRING ROAD
Practice Address - Street 2:STE 208
Practice Address - City:HALETHORPE
Practice Address - State:MD
Practice Address - Zip Code:21227
Practice Address - Country:US
Practice Address - Phone:240-885-1853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-26
Last Update Date:2022-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care