Organization Active NPI

Nurturing Connections L.L.C.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Macomb, MI
National Provider Identifier
1104415124
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
NURTURING CONNECTIONS L.L.C.
Practice address
20474 Vine Dr
Macomb, MI 48044-6501
Phone
(313) 283-9868
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Aqeela R Muntaqim, CLS
Title
Owner
Phone
(313) 757-2616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

20474 Vine Dr
Macomb, MI 48044-6501

Mailing address

20474 Vine Dr
Macomb, MI 48044-6501
Phone (313) 283-9868

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address milkymooma@mobilelactationconsultant.ney Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1104415124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20474 VINE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480446501",
            "telephone_number": "313-283-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20474 VINE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480446501",
            "telephone_number": "313-283-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURING CONNECTIONS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "MUNTAQIM",
        "authorized_official_first_name": "AQEELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-757-2616",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CLS"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "milkymooma@mobilelactationconsultant.ney",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "20474 Vine Dr",
            "city": "Macomb",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480446501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.