Healthcare Provider Details

I. General information

NPI: 1528917986
Provider Name (Legal Business Name): DOVE HOME CARE NURSING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CUMMINGS CTR STE 109D
BEVERLY MA
01915-6138
US

IV. Provider business mailing address

100 CUMMINGS CTR STE 109D
BEVERLY MA
01915-6138
US

V. Phone/Fax

Practice location:
  • Phone: 617-500-1967
  • Fax:
Mailing address:
  • Phone: 617-500-1967
  • Fax: 410-826-5393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: RUTH NAGAYI
Title or Position: ADMINISTRATOR
Credential:
Phone: 410-826-7256