Provider Demographics
NPI:1538751334
Name:HUMANITY HEALTH-DEVOTED CARE LLC
Entity type:Organization
Organization Name:HUMANITY HEALTH-DEVOTED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:DELOATCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-235-4559
Mailing Address - Street 1:220 FILLMORE PL
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23325-4720
Mailing Address - Country:US
Mailing Address - Phone:757-235-4559
Mailing Address - Fax:
Practice Address - Street 1:220 FILLMORE PL
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23325-4720
Practice Address - Country:US
Practice Address - Phone:757-235-4559
Practice Address - Fax:757-321-6522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8521Medicaid