Provider Demographics
NPI:1730051467
Name:NURTURE HAVEN HEALTHCARE LLC
Entity type:Organization
Organization Name:NURTURE HAVEN HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORY
Authorized Official - Middle Name:
Authorized Official - Last Name:OHAEKWUSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-339-2241
Mailing Address - Street 1:627 PROVIDENCE VIEW TRL
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-5381
Mailing Address - Country:US
Mailing Address - Phone:713-339-2241
Mailing Address - Fax:
Practice Address - Street 1:627 PROVIDENCE VIEW TRL
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-5381
Practice Address - Country:US
Practice Address - Phone:713-339-2241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health