Healthcare Provider Details

I. General information

NPI: 1831986439
Provider Name (Legal Business Name): NURTURING HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/24/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6895 CHARDONNAY DR # 45459
CENTERVILLE OH
45459-6060
US

IV. Provider business mailing address

6895 CHARDONNAY DR 45459
CENTERVILLE OH
45459
US

V. Phone/Fax

Practice location:
  • Phone: 937-797-4263
  • Fax:
Mailing address:
  • Phone: 937-797-4263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: FLORENCE MUTONI
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 937-797-4263