Provider Demographics
NPI:1548947328
Name:NURTURING HEARTS SUPPORT SERVICES
Entity type:Organization
Organization Name:NURTURING HEARTS SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-305-7463
Mailing Address - Street 1:4501 N WITCHDUCK RD STE D
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-6217
Mailing Address - Country:US
Mailing Address - Phone:757-364-1754
Mailing Address - Fax:757-644-1269
Practice Address - Street 1:4501 N WITCHDUCK RD STE D
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6217
Practice Address - Country:US
Practice Address - Phone:757-364-1754
Practice Address - Fax:757-644-1269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care