Healthcare Provider Details

I. General information

NPI: 1912818444
Provider Name (Legal Business Name): NURTURING WELL-BEING HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 NW 6TH CT
FORT LAUDERDALE FL
33311-7665
US

IV. Provider business mailing address

2830 NW 6TH CT
FORT LAUDERDALE FL
33311-7665
US

V. Phone/Fax

Practice location:
  • Phone: 954-000-0000
  • Fax:
Mailing address:
  • Phone: 954-612-0775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CARLA PORTER
Title or Position: OWNER/ ADMINISTRATOR
Credential:
Phone: 954-000-0000