Healthcare Provider Details

I. General information

NPI: 1710823703
Provider Name (Legal Business Name): NURTURING ROOTS DEVELOPMENTAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 JAMES ST
DAYTON OH
45410-1401
US

IV. Provider business mailing address

207 JAMES ST
DAYTON OH
45410-1401
US

V. Phone/Fax

Practice location:
  • Phone: 330-979-7352
  • Fax:
Mailing address:
  • Phone: 330-979-7352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VINCENT BUZIN
Title or Position: C.E.O
Credential:
Phone: 330-979-7352