Healthcare Provider Details

I. General information

NPI: 1861356883
Provider Name (Legal Business Name): NURTURING NOOK HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4026 WATERFIELD DR
INDIANAPOLIS IN
46235-4969
US

IV. Provider business mailing address

4026 WATERFIELD DR
INDIANAPOLIS IN
46235-4969
US

V. Phone/Fax

Practice location:
  • Phone: 317-629-9461
  • Fax:
Mailing address:
  • Phone: 317-629-9461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0300X
TaxonomyNephrology Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TORI JONES
Title or Position: OWNER
Credential:
Phone: 317-629-9461