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General NPI Number Information
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NPI Number | 1265222889
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Entity Type | Organization
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Legal Business Name | NURTURING HEARTS HAVEN LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 6319 BERGEN DR
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City | RICHMOND
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State | VA
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Zip | 23225-2656
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Country | US
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Telephone | 804-548-3732
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Fax | 804-522-5600
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Provider Business Mailing Address
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Address Line | 6319 BERGEN DR
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City | RICHMOND
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State | VA
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Zip | 23225-2656
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Country | US
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Telephone | 804-548-3732
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Fax |
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Authorized Official
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Title or Position | CEO; ALTERNATE ADMIN
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Name | MS. QUENSHELLE TIMISHA DAVIS
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Credential |
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Telephone | 804-548-3732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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