Provider Demographics
NPI:1932080314
Name:NURTURA CARE
Entity type:Organization
Organization Name:NURTURA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE
Authorized Official - Prefix:
Authorized Official - First Name:KATINA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:769-344-7531
Mailing Address - Street 1:PO BOX 272
Mailing Address - Street 2:
Mailing Address - City:QUITMAN
Mailing Address - State:MS
Mailing Address - Zip Code:39355-0272
Mailing Address - Country:US
Mailing Address - Phone:769-344-7531
Mailing Address - Fax:
Practice Address - Street 1:212 WILLOW ST
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:MS
Practice Address - Zip Code:39355-2243
Practice Address - Country:US
Practice Address - Phone:769-344-7531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty