Provider Demographics
NPI:1003620196
Name:DEVOTED CARE LLC
Entity type:Organization
Organization Name:DEVOTED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:GANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-408-8987
Mailing Address - Street 1:9713 PASSAGE DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-4548
Mailing Address - Country:US
Mailing Address - Phone:301-408-8987
Mailing Address - Fax:
Practice Address - Street 1:8025 JANNA LEE AVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-3811
Practice Address - Country:US
Practice Address - Phone:301-408-8987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care