Nurtiva LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NURTIVA LLC

Practice address

317 Appaloosa LN
China Spring, TX 76633-3458

Phone

(254) 717-6946

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Stefanie Martin

Title

Member

Phone

(254) 717-6946

Specialties & licenses 1

Addresses

Other names 1

• Nurtiva Home Health Doing business as

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1104645183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5485",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767080485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 APPALOOSA LN",
            "city": "CHINA SPRING",
            "state": "TX",
            "postal_code": "766333458",
            "telephone_number": "254-717-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTIVA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "254-717-6946"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurtiva Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Hay Ishio, LCSW
• J T Davis, LLC
• Pamela Johnston, RN
• Little Behavior Consulting in Waco, LLC
• Timothy Ray Montalvo, M.D.
• On Call Solution, P.L.L.C.
• Matthew Edward Panter
• Kiana G Perez
• Christy Lynn Repp
• Clint Ross

• All providers in China Spring, TX
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.