Provider Demographics
NPI:1457080558
Name:DEVOTED GUARDIANS HOME HEALTH
Entity Type:Organization
Organization Name:DEVOTED GUARDIANS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:MAKIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-392-0097
Mailing Address - Street 1:5807 GARDEN FLOWER CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2637
Mailing Address - Country:US
Mailing Address - Phone:832-392-0097
Mailing Address - Fax:
Practice Address - Street 1:5807 GARDEN FLOWER CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2637
Practice Address - Country:US
Practice Address - Phone:832-392-0097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care