Provider Demographics
NPI:1104483932
Name:DEVOTED HOME CARE AGENCY
Entity type:Organization
Organization Name:DEVOTED HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TANAIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-513-6347
Mailing Address - Street 1:2265 1/2 HAWTHORN AVE
Mailing Address - Street 2:
Mailing Address - City:PGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1349
Mailing Address - Country:US
Mailing Address - Phone:412-513-6347
Mailing Address - Fax:
Practice Address - Street 1:2265 1/2 HAWTHORN AVE
Practice Address - Street 2:
Practice Address - City:PGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1349
Practice Address - Country:US
Practice Address - Phone:412-513-6347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health