=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033062682
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A ONE DEVINE HOME CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/16/2026
-----------------------------------------------------
Last Update Date | 02/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2140 ROCKBRIDGE RD SW STE 108
-----------------------------------------------------
City | STONE MOUNTAIN
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30087-3508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-404-5491
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2140 ROCKBRIDGE RD SW STE 108
-----------------------------------------------------
City | STONE MOUNTAIN
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30087-3507
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-404-5491
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | VEVECA COX
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 678-404-5491
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------