Healthcare Provider Details

I. General information

NPI: 1235007253
Provider Name (Legal Business Name): HEAVENLY DEVOTION HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3294 ASHLEY PHOSPHATE RD STE 2B
NORTH CHARLESTON SC
29418-8465
US

IV. Provider business mailing address

3294 ASHLEY PHOSPHATE RD STE 2B
NORTH CHARLESTON SC
29418-8465
US

V. Phone/Fax

Practice location:
  • Phone: 843-377-8269
  • Fax:
Mailing address:
  • Phone: 843-377-8269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KERIA DRAYTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 843-442-6894