Organization
DOVEZ NEST HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA PATRICE JORDAN-BALDWIN (OWNER)
(904) 615-7719
Entity
Organization
Contact information
Practice address
4110 MESSINA DR, SAINT AUGUSTINE, FL 32092-4516
(904) 615-7719
(904) 615-7719
Mailing address
4110 MESSINA DR, SAINT AUGUSTINE, FL 32092-4516
(904) 615-7719
(904) 615-7719
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
06/26/2025
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