=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881636512
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DEVOTION HEALTH CARE SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/10/2006
-----------------------------------------------------
Last Update Date | 10/10/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8300 BISSONNET ST SUITE 375
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77074-3900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-723-3600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8300 BISSONNET ST SUITE 375
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77074-3900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-723-3600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR/DIRECTOR OF NURSING
-----------------------------------------------------
Name | MRS. ADEBISI LAWRENCE
-----------------------------------------------------
Credential | REGISTERED NURSE
-----------------------------------------------------
Telephone | 713-723-3600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 008553
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------