Provider Demographics
NPI:1174146229
Name:DEVOTED HOME HEALTH AGENCY,INC
Entity type:Organization
Organization Name:DEVOTED HOME HEALTH AGENCY,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OKOJI
Authorized Official - Middle Name:
Authorized Official - Last Name:NDUKWE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:919-412-4592
Mailing Address - Street 1:PO BOX 58218
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27658-8218
Mailing Address - Country:US
Mailing Address - Phone:919-412-4592
Mailing Address - Fax:252-210-2333
Practice Address - Street 1:854 TIFFANY BLVD STE 202A
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-1808
Practice Address - Country:US
Practice Address - Phone:919-412-4592
Practice Address - Fax:252-210-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-23
Last Update Date:2020-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care