Provider Demographics
NPI:1982357455
Name:NURTURE CARE INC
Entity Type:Organization
Organization Name:NURTURE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSUE FILS
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:DESIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-213-3612
Mailing Address - Street 1:2313 3RD ST SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-3357
Mailing Address - Country:US
Mailing Address - Phone:772-213-3612
Mailing Address - Fax:772-492-3937
Practice Address - Street 1:2313 3RD ST SW
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32962-3357
Practice Address - Country:US
Practice Address - Phone:177-241-0766
Practice Address - Fax:772-492-3937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105386600Medicaid