Provider Demographics
NPI:1043910755
Name:THE NURTURING TEAM CDS, LLC
Entity type:Organization
Organization Name:THE NURTURING TEAM CDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:BURROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-757-1190
Mailing Address - Street 1:1033 CORPORATE SQUARE DR STE 123
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-2928
Mailing Address - Country:US
Mailing Address - Phone:314-801-8681
Mailing Address - Fax:314-801-8670
Practice Address - Street 1:1033 CORPORATE SQUARE DR STE 123
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-2928
Practice Address - Country:US
Practice Address - Phone:314-801-8681
Practice Address - Fax:314-801-8670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health