Provider Demographics
NPI:1255956439
Name:NURTURING HANDS HOME CARE LLC
Entity type:Organization
Organization Name:NURTURING HANDS HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:SUPERVISOR
Authorized Official - Phone:704-218-2117
Mailing Address - Street 1:1821 SKYWAY DR STE 103
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-2858
Mailing Address - Country:US
Mailing Address - Phone:704-218-2117
Mailing Address - Fax:
Practice Address - Street 1:1821 SKYWAY DR STE 103
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-2858
Practice Address - Country:US
Practice Address - Phone:704-218-2117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health