Healthcare Provider Details

I. General information

NPI: 1740175868
Provider Name (Legal Business Name): NEST HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/10/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10460 SPRING LAKE DR
CLERMONT FL
34711-7931
US

IV. Provider business mailing address

10460 SPRING LAKE DR
CLERMONT FL
34711-7931
US

V. Phone/Fax

Practice location:
  • Phone: 407-288-5884
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL S FRASURE
Title or Position: ADMINISTRATOR
Credential: FNP
Phone: 407-288-5884