Healthcare Provider Details

I. General information

NPI: 1629901913
Provider Name (Legal Business Name): NURTURED BEYOND HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 CLARK ST APT B
FRANKLIN KY
42134-1356
US

IV. Provider business mailing address

502 CLARK ST APT B
FRANKLIN KY
42134-1356
US

V. Phone/Fax

Practice location:
  • Phone: 270-799-9397
  • Fax:
Mailing address:
  • Phone: 270-799-9397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: TRADESHA CHATMAN
Title or Position: LPN/OWNER
Credential: LPN
Phone: 270-253-2012