Healthcare Provider Details

I. General information

NPI: 1881454999
Provider Name (Legal Business Name): NURTURING THERAPEUTIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2024
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 CHADMON COURT TRCE
DACULA GA
30019-7070
US

IV. Provider business mailing address

2765 HAMBY ST SE
SMYRNA GA
30080-3411
US

V. Phone/Fax

Practice location:
  • Phone: 941-288-2458
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY BURKS
Title or Position: CEO/OWNER
Credential:
Phone: 404-273-2178