Provider Demographics
NPI:1083599054
Name:DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA
Entity type:Organization
Organization Name:DEVOTED HEALTH INSURANCE COMPANY OF LOUISIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF MEDICARE MARKETS
Authorized Official - Prefix:
Authorized Official - First Name:DARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-958-1611
Mailing Address - Street 1:221 CRESCENT ST STE 202
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-3425
Mailing Address - Country:US
Mailing Address - Phone:617-958-1611
Mailing Address - Fax:
Practice Address - Street 1:221 CRESCENT ST STE 202
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-3425
Practice Address - Country:US
Practice Address - Phone:617-958-1611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEVOTED HEALTH HOLDCO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization