Provider Demographics
NPI:1902484678
Name:THE NEST RESIDENTIAL SERVICES
Entity Type:Organization
Organization Name:THE NEST RESIDENTIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:RAYMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-782-5522
Mailing Address - Street 1:PO BOX 225
Mailing Address - Street 2:
Mailing Address - City:MOUNT ORAB
Mailing Address - State:OH
Mailing Address - Zip Code:45154-0225
Mailing Address - Country:US
Mailing Address - Phone:937-483-4200
Mailing Address - Fax:937-483-4210
Practice Address - Street 1:104 FARLEY LANE
Practice Address - Street 2:
Practice Address - City:MOUNT ORAB
Practice Address - State:OH
Practice Address - Zip Code:45154-0225
Practice Address - Country:US
Practice Address - Phone:937-483-4200
Practice Address - Fax:937-483-4210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care