Healthcare Provider Details

I. General information

NPI: 1225959547
Provider Name (Legal Business Name): DEVOTED HANDS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 S WESTERN AVE STE 204
OKLAHOMA CITY OK
73139-1816
US

IV. Provider business mailing address

6801 S WESTERN AVE STE 204
OKLAHOMA CITY OK
73139-1816
US

V. Phone/Fax

Practice location:
  • Phone: 405-336-1665
  • Fax: 405-668-8608
Mailing address:
  • Phone: 405-336-1665
  • Fax: 405-668-8608

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: SHELBY CLARK
Title or Position: CEO/HOME CARE ADMINISTRATOR
Credential:
Phone: 405-336-1665