Provider Demographics
NPI:1922523133
Name:DEVOTED LOVING CARE INC
Entity Type:Organization
Organization Name:DEVOTED LOVING CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YANIESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDKING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-672-0619
Mailing Address - Street 1:500 TRINITY LN N APT 2206
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-1232
Mailing Address - Country:US
Mailing Address - Phone:216-672-0619
Mailing Address - Fax:877-262-2161
Practice Address - Street 1:500 TRINITY LN N APT 2206
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-1232
Practice Address - Country:US
Practice Address - Phone:216-672-0619
Practice Address - Fax:877-262-2161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-08
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH822417086251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health