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NPI Code Detail

MEDICARE: NURTURING CARE HOMES LLC

MEDICARE: NURTURING CARE HOMES 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
1311Z00000XCustodial Care Facility
2311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1750225488
Entity Type Code : Organization
Provider Name (Legal Business Name) : NURTURING CARE HOMES LLC
Provider Business Mailing Address
First Line : 25060 GLENBROOKE DR
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48033-2514
Country : US
Telephone Number :
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 : OWNER
Name : MAYOWA SULE
Credential :
Telephone Number : 248-961-9274
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “NURTURING CARE HOMES LLC ” Practice Location

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