Healthcare Provider Details

I. General information

NPI: 1588457576
Provider Name (Legal Business Name): NURTURA HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10447 STEEPLECHASE RUN LN
MANASSAS VA
20110-6932
US

IV. Provider business mailing address

10447 STEEPLECHASE RUN LN
MANASSAS VA
20110-6932
US

V. Phone/Fax

Practice location:
  • Phone: 571-202-2176
  • Fax:
Mailing address:
  • Phone: 571-202-2176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MARIE A CADET-BOUZI
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 646-409-6016