| Nourish Care Inc | |
|
204 E Chevy Chase Dr Ste 2 Glendale CA 91205-3181 | |
| (747) 277-1111 | |
| (747) 277-1112 |
| Full Name | Nourish Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 204 E Chevy Chase Dr Ste 2, Glendale, California |
| Authorized Official Name and Position | Maribeth Mckinney (CEO) |
| Authorized Official Contact | 7472771111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nourish Care Inc 204 E Chevy Chase Dr Ste 2 Glendale CA 91205-3181 Ph: (747) 277-1111 | Nourish Care Inc 204 E Chevy Chase Dr Ste 2 Glendale CA 91205-3181 Ph: (747) 277-1111 |
| NPI Number | 1497607964 |
|---|---|
| Provider Enumeration Date | 02/09/2026 |
| Last Update Date | 02/10/2026 |
| Certification Date | 02/10/2026 |
| Medicare PECOS PAC ID | 9032686035 |
|---|---|
| Medicare Enrollment ID | O20260428000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497607964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Maribeth Floresta Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578878948 PECOS PAC ID: 6406154822 Enrollment ID: I20190722001323 |
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