1659654705 NPI number — NURTURING CARE SERVICES, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659654705 NPI number — NURTURING CARE SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NURTURING CARE SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659654705
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1218 MURFREESBORO PIKE
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37217
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-499-4551
Provider Business Mailing Address Fax Number:
615-360-8795

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1218 MURFREESBORO PIKE
Provider Second Line Business Practice Location Address:
SUITE 123
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-915-1321
Provider Business Practice Location Address Fax Number:
615-360-8795
Provider Enumeration Date:
09/26/2011

Additional Information

Authorized Official

Authorized Official Last Name:
JACKSON
Authorized Official First Name:
LINDSAY
Authorized Official Middle Name:
N
Authorized Official Title or Position:
DIRECTOR/ OWNER
Authorized Official Telephone Number:
615-499-4551

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  I000000009577 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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