Healthcare Provider Details

I. General information

NPI: 1881542348
Provider Name (Legal Business Name): DEVERRA HOMECARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 LOCUST ST
SPRINGFIELD MA
01108-1147
US

IV. Provider business mailing address

318 LOCUST ST
SPRINGFIELD MA
01108-1147
US

V. Phone/Fax

Practice location:
  • Phone: 413-726-8912
  • Fax: 413-385-2770
Mailing address:
  • Phone: 413-726-8912
  • Fax: 413-385-2770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ROSELINE CHUKWU CHIUWA
Title or Position: MANAGER
Credential:
Phone: 413-726-8912