Provider Demographics
NPI:1154140788
Name:NESTLED CARE
Entity type:Organization
Organization Name:NESTLED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:NANYANGWE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA,BIO-MED CHEM,EHC
Authorized Official - Phone:480-500-8947
Mailing Address - Street 1:11839 N LUCKENBACH ST
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85388-3021
Mailing Address - Country:US
Mailing Address - Phone:602-763-5050
Mailing Address - Fax:
Practice Address - Street 1:11839 N LUCKENBACH ST
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-3021
Practice Address - Country:US
Practice Address - Phone:602-763-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care