Provider Demographics
NPI:1104630433
Name:NURTURED NEST HOMECARE LLC
Entity type:Organization
Organization Name:NURTURED NEST HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:TINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-486-3328
Mailing Address - Street 1:601 CATTLE DRIVE CIR
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-3734
Mailing Address - Country:US
Mailing Address - Phone:914-486-3328
Mailing Address - Fax:
Practice Address - Street 1:601 CATTLE DRIVE CIR
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588-3734
Practice Address - Country:US
Practice Address - Phone:914-486-3328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care