Healthcare Provider Details

I. General information

NPI: 1447978366
Provider Name (Legal Business Name): DEVOTED HEALTHCARE STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2022
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 POPLAR AVE
MEMPHIS TN
38137-4000
US

IV. Provider business mailing address

5100 POPLAR AVE
MEMPHIS TN
38137-4000
US

V. Phone/Fax

Practice location:
  • Phone: 901-930-6267
  • Fax:
Mailing address:
  • Phone: 901-930-6267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TERRI MARQUITA PAYNE
Title or Position: OWNER
Credential:
Phone: 901-930-6267