MEDICARE: SAKINA DEVEREAUX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	171M00000X	Case Manager/Care Coordinator		OH

General Provider Information

NPI Number	:	1205602026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAKINA DEVEREAUX

Provider Business Mailing Address
First Line	:	5573 WOODMANSEE WAY
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-5913
Country	:	US
Telephone Number	:	513-364-4264
Fax Number	:

Provider Business Practice Location Address
First Line	:	5573 WOODMANSEE WAY
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-5913
Country	:	US
Telephone Number	:	513-364-4264
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2023
Last Update Date	:	02/04/2026

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Directions to “ SAKINA DEVEREAUX ” Practice Location

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