Organization · NPI-2
Devoted Home Care And Support Services
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Apopka, FL
NPI number1114552965
StatusActive
Last updated in NPPESMar 11, 2020
Details
- NPI
- 1114552965
- Entity type
- Organization (NPI-2)
- Legal business name
- Devoted Home Care And Support Services
- Organization subpart
- No
- Enumeration date
- Mar 11, 2020
- Certification date
- Mar 11, 2020
- Last updated
- Mar 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 311Z00000X | Custodial Care Facility | – | – | |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | |
| 347C00000X | Private Vehicle | – | – | |
| 372500000X | Chore Provider | – | – | |
| 372600000X | Adult Companion | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
1713 W Marshall Lake DrApopka, FL 32703-1622
Phone 407-692-5471
Mailing address
Po Box 1929Apopka, FL 32704-1929
Phone 407-692-5471
Authorized official
Tequesta Dukes
Director
4076925471
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.