Provider Demographics
NPI:1952107187
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:
Authorized Official - First Name:NIRVANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAEMI MAHMOODZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-913-7799
Mailing Address - Street 1:9229 VALJEAN AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-3819
Mailing Address - Country:US
Mailing Address - Phone:747-755-2120
Mailing Address - Fax:747-204-2266
Practice Address - Street 1:14545 FRIAR ST # 389
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2397
Practice Address - Country:US
Practice Address - Phone:747-755-2120
Practice Address - Fax:747-204-2266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health