Healthcare Provider Details

I. General information

NPI: 1346179678
Provider Name (Legal Business Name): NURTURA HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 PEACHTREE ST NE STE 1000
ATLANTA GA
30361-3542
US

IV. Provider business mailing address

255 HIGH ST APT 235
ATLANTA GA
30346-1102
US

V. Phone/Fax

Practice location:
  • Phone: 786-288-9669
  • Fax:
Mailing address:
  • Phone: 954-839-4935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KENECIA LII
Title or Position: MANAGING MEMBER
Credential:
Phone: 954-839-4935