Healthcare Provider Details

I. General information

NPI: 1992549497
Provider Name (Legal Business Name): DEVOTED LOVING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10144 CHANTRY PL
PICKERINGTON OH
43147-9015
US

IV. Provider business mailing address

10144 CHANTRY PL
PICKERINGTON OH
43147-9015
US

V. Phone/Fax

Practice location:
  • Phone: 614-369-9301
  • Fax:
Mailing address:
  • Phone: 614-369-9301
  • Fax:

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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. SCHOLASTICA BAGAN
Title or Position: DOO
Credential:
Phone: 614-369-9301