Healthcare Provider Details

I. General information

NPI: 1760390603
Provider Name (Legal Business Name): NURTURED CARE BY ISTAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 LONGACRE ST
DETROIT MI
48228-3569
US

IV. Provider business mailing address

7501 LONGACRE ST
DETROIT MI
48228-3569
US

V. Phone/Fax

Practice location:
  • Phone: 313-646-0317
  • Fax:
Mailing address:
  • Phone: 313-646-0317
  • 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: ISTAR TYUS
Title or Position: CEO/FOUNDER
Credential:
Phone: 313-646-0317