Provider Demographics
NPI:1083076202
Name:DEVOTED HOME CARE, LLC
Entity type:Organization
Organization Name:DEVOTED HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-945-7640
Mailing Address - Street 1:6701 BAY PKWY PH FLOOR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-4749
Mailing Address - Country:US
Mailing Address - Phone:347-745-6600
Mailing Address - Fax:
Practice Address - Street 1:6701 BAY PKWY PH FLOOR
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4749
Practice Address - Country:US
Practice Address - Phone:347-745-6600
Practice Address - Fax:347-745-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-26
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2527L251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health