Provider Demographics
NPI:1609414564
Name:NEST CARE SERVICES LLC
Entity Type:Organization
Organization Name:NEST CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUELLA
Authorized Official - Middle Name:N
Authorized Official - Last Name:GWANMESIA
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:651-447-9854
Mailing Address - Street 1:2301 WOODBRIDGE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-4716
Mailing Address - Country:US
Mailing Address - Phone:651-447-9854
Mailing Address - Fax:651-494-8895
Practice Address - Street 1:2301 WOODBRIDGE ST STE 101
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-4716
Practice Address - Country:US
Practice Address - Phone:651-447-9854
Practice Address - Fax:651-494-8895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health