Provider Demographics
NPI:1609765353
Name:DEVOTED LIFESTYLE HOUSING LLC.
Entity type:Organization
Organization Name:DEVOTED LIFESTYLE HOUSING LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINACIAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHAVEZ-HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-215-5498
Mailing Address - Street 1:15017 HESTA ST
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2607
Mailing Address - Country:US
Mailing Address - Phone:858-231-7219
Mailing Address - Fax:
Practice Address - Street 1:15017 HESTA ST
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2607
Practice Address - Country:US
Practice Address - Phone:858-231-7219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEVOTED LIFESTYLE HOUSING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
No332U00000XSuppliersHome Delivered Meals
No385H00000XRespite Care FacilityRespite Care