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DEVOTED HOME CARE AND SUPPORT SERVICES NPI 1114552965


NPI Information

NPI: 1114552965
Provider Name: DEVOTED HOME CARE AND SUPPORT SERVICES
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1713 W MARSHALL LAKE DR
APOPKA, FL
ZIP 32703
Phone: (407) 692-5471
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DEVOTED HOME CARE AND SUPPORT SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Apopka, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DEVOTED HOME CARE AND SUPPORT SERVICES NPI is 1114552965. The provider is registered as an organization entity type.

The provider's business location address is:

1713 W MARSHALL LAKE DR
APOPKA, FL
ZIP 32703-622
Phone: (407) 692-5471

The provider's authorized official is Tequesta Dukes .
The authorized official title is Director and has the following contact phone number (407) 692-5471.

The enumeration date for this NPI number is 3/11/2020 and was last updated on 3/11/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2253Z00000XIn Home Supportive CareNo
3311Z00000XCustodial Care FacilityNo
4311ZA0620XCustodial Care FacilityAdult Care HomeNo
5347C00000XPrivate VehicleNo
6372500000XChore ProviderNo
7372600000XAdult CompanionNo
8374U00000XHome Health AideNo
9385H00000XRespite CareNo
10320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010514400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.