Healthcare Provider Details

I. General information

NPI: 1528270717
Provider Name (Legal Business Name): DAWN'S DOVE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 RED HOUSE RD
RICHMOND KY
40475-9326
US

IV. Provider business mailing address

914 RED HOUSE RD
RICHMOND KY
40475-9326
US

V. Phone/Fax

Practice location:
  • Phone: 859-623-0019
  • Fax:
Mailing address:
  • Phone: 859-623-0019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: DR. EDITH CAROL BAKER
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 859-626-5399