Organization Active NPI

Nurturing Care Services

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1164185088
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NURTURING CARE SERVICES
Practice address
7047 Germantown Ave Ste 204
Philadelphia, PA 19119-1866
Phone
(267) 231-6324
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Miss Lynnette Gloria Hudson
Title
Co-Owner
Phone
(267) 231-6324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7047 Germantown Ave Ste 204
Philadelphia, PA 19119-1866

Mailing address

7047 Germantown Ave Ste 204
Philadelphia, PA 19119-1866
Phone (267) 231-6324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230303000673 PA Part A Provider - Home Health Agency 5799158283 Practice locations: Philadelphia, PA

Home health agency certification: CCN 398375

Legal name
NURTURING CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 3, 2024
Last certification
Aug 9, 2024
Organization structure
LLCProprietary
Incorporated
Oct 7, 2021 in PA
Enrollment address
7047 Germantown Ave
Ste 203
Philadelphia, PA 19119-1866

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nurturing Care Services, LLCCCN 398375
Ownership
-
Certified
Sep 3, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2298242Nurturing Care Services LLC7047 Germantown Ave, Suite 203, Philadelphia, PA 19119Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory

Locations

7047 Germantown Ave
Ste 204
Philadelphia, PA 19119
Phone (267) 231-6324

7047 Germantown Ave
Ste 203
Philadelphia, PA 19119
Phone (267) 231-6324

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lynnette Hudson Individual 5% Or Greater Direct Ownership Interest Oct 7, 2022 50%
Corporate OfficerPresident Oct 7, 2022
W-2 Managing Employee Oct 7, 2022
Nashariah Segers Individual 5% Or Greater Direct Ownership Interest Oct 7, 2022 50%
Corporate OfficerVice President Oct 7, 2022
W-2 Managing Employee Oct 7, 2022

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1164185088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 GERMANTOWN AVE STE 204",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191866",
            "telephone_number": "267-231-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7047 GERMANTOWN AVE STE 204",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191866",
            "telephone_number": "267-231-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURING CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_middle_name": "GLORIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "267-231-6324",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.