MEDICARE: NURTURING CARE PARTNERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1538053608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURTURING CARE PARTNERS LLC

Provider Business Mailing Address
First Line	:	5851 CHERRYWOOD APT 1912
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-4508
Country	:	US
Telephone Number	:	512-363-9571
Fax Number	:

Provider Business Practice Location Address
First Line	:	25060 GLENBROOKE DR
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48033-2514
Country	:	US
Telephone Number	:	248-961-9274
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. TITILAYO AYANWOLA
Credential	:	MPH, RD, LD
Telephone Number	:	512-363-9571

Provider Enumeration Date	:	06/04/2025
Last Update Date	:	06/04/2025

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