Provider Demographics
NPI:1013530559
Name:DEVANI HOME CARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:DEVANI HOME CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:POE-CERDAN
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:856-577-6930
Mailing Address - Street 1:622 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:WENONAH
Mailing Address - State:NJ
Mailing Address - Zip Code:08090-1230
Mailing Address - Country:US
Mailing Address - Phone:856-577-6930
Mailing Address - Fax:
Practice Address - Street 1:622 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:WENONAH
Practice Address - State:NJ
Practice Address - Zip Code:08090-1230
Practice Address - Country:US
Practice Address - Phone:856-577-6930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care