Provider Demographics
NPI:1972364370
Name:NURTURED COMMUNITY CARE
Entity type:Organization
Organization Name:NURTURED COMMUNITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAWAUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOULDARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-207-4334
Mailing Address - Street 1:65 KINGSLAND CT
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-2751
Mailing Address - Country:US
Mailing Address - Phone:973-207-4334
Mailing Address - Fax:
Practice Address - Street 1:65 KINGSLAND CT
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2751
Practice Address - Country:US
Practice Address - Phone:973-207-4334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty
No347E00000XTransportation ServicesTransportation Broker
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty