Healthcare Provider Details

I. General information

NPI: 1730939802
Provider Name (Legal Business Name): A NURTURING BAY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5209 PALE SAGE LN
ROSHARON TX
77583-8236
US

IV. Provider business mailing address

5209 PALE SAGE LN
ROSHARON TX
77583-8236
US

V. Phone/Fax

Practice location:
  • Phone: 832-567-6410
  • Fax: 713-885-9627
Mailing address:
  • Phone: 832-567-6410
  • Fax: 713-885-9627

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MYUMI NORIKO SMITH
Title or Position: CEO
Credential:
Phone: 832-567-6410