MEDICARE: DOVE HOME CARE NURSING SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	163WC0400X	Case Management Registered Nurse
4	171M00000X	Case Manager/Care Coordinator
5	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
6	251S00000X	Community/Behavioral Health Agency
7	376J00000X	Homemaker
8	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1861104440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOVE HOME CARE NURSING SERVICES LLC

Provider Business Mailing Address
First Line	:	6340 SECURITY BLVD STE 100B47
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21207-5173
Country	:	US
Telephone Number	:	410-826-7256
Fax Number	:	410-826-5393

Provider Business Practice Location Address
First Line	:	7310 RITCHIE HWY STE 200
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-3065
Country	:	US
Telephone Number	:	410-826-7256
Fax Number	:	410-826-5393

Authorized Official
Title or Position	:	CEO
Name	:	MRS. RUTH NAGAYI
Credential	:
Telephone Number	:	410-826-7256

Provider Enumeration Date	:	12/15/2022
Last Update Date	:	12/18/2025

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