Provider Demographics
NPI:1790660439
Name:NICOLE'S NURTURING CARE
Entity type:Organization
Organization Name:NICOLE'S NURTURING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKEISHA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:COBBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-900-8272
Mailing Address - Street 1:1823 TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53403-2477
Mailing Address - Country:US
Mailing Address - Phone:262-900-8272
Mailing Address - Fax:
Practice Address - Street 1:1823 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53403-2477
Practice Address - Country:US
Practice Address - Phone:262-900-8272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care