Healthcare Provider Details

I. General information

NPI: 1164221339
Provider Name (Legal Business Name): NURTURING COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 AMES AVE STE 6
OMAHA NE
68111-2759
US

IV. Provider business mailing address

3160 AMES AVE STE 6
OMAHA NE
68111-2759
US

V. Phone/Fax

Practice location:
  • Phone: 303-520-3042
  • Fax:
Mailing address:
  • Phone: 303-520-3042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: CHANELL LYNN BOONE
Title or Position: FOUNDER
Credential: CEO
Phone: 303-520-3042