Healthcare Provider Details

I. General information

NPI: 1184588139
Provider Name (Legal Business Name): NOURISHED HOPE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 E MAIN ST STE 2B
SOMERVILLE NJ
08876-3109
US

IV. Provider business mailing address

103 LINCOLN AVE
SOMERVILLE NJ
08876-2612
US

V. Phone/Fax

Practice location:
  • Phone: 908-524-0214
  • Fax:
Mailing address:
  • Phone: 908-524-0214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINE DESOUZA
Title or Position: OWNER/REGISTERED DIETITIAN
Credential: MS, RD, CEDS-C
Phone: 908-524-0214