Healthcare Provider Details

I. General information

NPI: 1033062682
Provider Name (Legal Business Name): A ONE DEVINE HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 ROCKBRIDGE RD SW STE 108
STONE MOUNTAIN GA
30087-3508
US

IV. Provider business mailing address

2140 ROCKBRIDGE RD SW STE 108
STONE MOUNTAIN GA
30087-3507
US

V. Phone/Fax

Practice location:
  • Phone: 678-404-5491
  • Fax:
Mailing address:
  • Phone: 770-676-0888
  • Fax: 770-676-0889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VEVECA COX
Title or Position: CFO
Credential:
Phone: 770-676-0888