Provider Demographics
NPI:1770160251
Name:NATURECARE INC
Entity type:Organization
Organization Name:NATURECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SYAM
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:POTLURI
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:443-823-3350
Mailing Address - Street 1:6 WINELEAF CT
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-5401
Mailing Address - Country:US
Mailing Address - Phone:443-823-3350
Mailing Address - Fax:
Practice Address - Street 1:40 MAIN ST
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-2113
Practice Address - Country:US
Practice Address - Phone:410-833-9844
Practice Address - Fax:410-833-9845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD226610500Medicaid