Healthcare Provider Details

I. General information

NPI: 1235046301
Provider Name (Legal Business Name): DOVE HOME HELP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22312 ACADIA WAY
NORTHVILLE MI
48167-9160
US

IV. Provider business mailing address

22312 ACADIA WAY
NORTHVILLE MI
48167-9160
US

V. Phone/Fax

Practice location:
  • Phone: 907-229-2556
  • Fax:
Mailing address:
  • Phone: 907-229-2556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: EDMOND AMETOVSKI
Title or Position: OWNER
Credential: PTA
Phone: 907-229-2556