Provider Demographics
NPI:1497320741
Name:DEVOTED HOME CARE SERVICES
Entity Type:Organization
Organization Name:DEVOTED HOME CARE SERVICES
Other - Org Name:DEVOTED HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARKSDALE
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:910-441-9629
Mailing Address - Street 1:107 CLARK PLZ
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:NC
Mailing Address - Zip Code:28398-1800
Mailing Address - Country:US
Mailing Address - Phone:910-476-1257
Mailing Address - Fax:
Practice Address - Street 1:107 CLARK PLZ
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NC
Practice Address - Zip Code:28398-1800
Practice Address - Country:US
Practice Address - Phone:910-476-1257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty