Healthcare Provider Details

I. General information

NPI: 1184539660
Provider Name (Legal Business Name): BEELEEVES HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2379 TIMBER LN
ORANGE PARK FL
32065-7227
US

IV. Provider business mailing address

2379 TIMBER LN
ORANGE PARK FL
32065-7227
US

V. Phone/Fax

Practice location:
  • Phone: 904-466-9469
  • Fax:
Mailing address:
  • Phone: 904-466-9469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: DIAMOND VILLALOBOS
Title or Position: OWNER
Credential: CNA
Phone: 904-466-9469