MEDICARE: NURTURE NEST WELLNESS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154206688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURTURE NEST WELLNESS INC

Provider Business Mailing Address
First Line	:	2918 38TH ST NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-2902
Country	:	US
Telephone Number	:	330-344-0433
Fax Number	:

Provider Business Practice Location Address
First Line	:	2918 38TH ST NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-2902
Country	:	US
Telephone Number	:	330-344-0433
Fax Number	:

Authorized Official
Title or Position	:	DOO
Name	:	LATONIA LEE BILLINGS
Credential	:
Telephone Number	:	330-344-0433

Provider Enumeration Date	:	08/06/2025
Last Update Date	:	08/30/2025

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Directions to “NURTURE NEST WELLNESS INC ” Practice Location

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