Healthcare Provider Details

I. General information

NPI: 1124682042
Provider Name (Legal Business Name): DVOTED HOMECARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2019
Last Update Date: 05/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

943B W MEIGHAN BLVD
GADSDEN AL
35901-3327
US

IV. Provider business mailing address

943B W MEIGHAN BLVD
GADSDEN AL
35901-3327
US

V. Phone/Fax

Practice location:
  • Phone: 256-459-4768
  • Fax: 256-467-4803
Mailing address:
  • Phone: 256-459-4768
  • Fax: 256-467-4803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. LASONIA RECHAE SAMS
Title or Position: OWNER
Credential:
Phone: 256-459-4768