Provider Demographics
NPI:1265225361
Name:DEVOTED HOME CARE AGENCY INC
Entity type:Organization
Organization Name:DEVOTED HOME CARE AGENCY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENEDICTA
Authorized Official - Middle Name:UDUNMA
Authorized Official - Last Name:EMOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-948-9431
Mailing Address - Street 1:PO BOX 58147
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27658-8147
Mailing Address - Country:US
Mailing Address - Phone:919-948-9431
Mailing Address - Fax:252-210-2333
Practice Address - Street 1:2325 SUNSET AVE UNIT 37
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2529
Practice Address - Country:US
Practice Address - Phone:919-948-9431
Practice Address - Fax:252-210-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care