Organization Active NPI

Devoted Healthcare, LLC

  • Home Health Agency
  • Tucson, AZ
National Provider Identifier
1003406497
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEVOTED HEALTHCARE, LLC
Practice address
437 W Thurber Rd Ste 8
Tucson, AZ 85705-6821
Phone
(520) 305-9605
Fax
(520) 305-3372
NPI assigned
Jan 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joaquin JaureguiNPI 1720653488
Title
President
Phone
(520) 247-4913

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

437 W Thurber Rd Ste 8
Tucson, AZ 85705-6821

Mailing address

437 W Thurber Rd Ste 8
Tucson, AZ 85705-6821
Phone (520) 305-9605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210910001214 AZ Part A Provider - Home Health Agency 1153727573 Practice locations: Tucson, AZ

Home health agency certification: CCN 037831

Legal name
DEVOTED HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 15, 2024
Last certification
Feb 15, 2024
Organization structure
LLCProprietary
Incorporated
Oct 17, 2018 in AZ
Enrollment address
437 W Thurber Rd
Ste 8
Tucson, AZ 85705-6821

Care Compare: Home health agency

Medicare Care Compare
Listed as
Devoted Healthcare LLCCCN 037831
Overall star rating
2 of 5
Ownership
-
Certified
Feb 15, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2223262Devoted Healthcare, LLC437 W Thurber, Ste 8, Tucson, AZ 85705Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

3610 N Prince Village Pl
Ste 140
Tucson, AZ 85719

437 W Thurber Rd
Ste 8
Tucson, AZ 85705
Phone (520) 305-9605

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joaquin Jauregui Individual 5% Or Greater Direct Ownership InterestDirector of Clinical Oct 17, 2018 50%
Corporate DirectorVice President Oct 17, 2018 50%
W-2 Managing EmployeeVice President Oct 17, 2018 50%
Carlos a Jauregui Individual 5% Or Greater Direct Ownership InterestVice President Oct 17, 2018 50%
Corporate DirectorVice President Oct 24, 2018 50%
W-2 Managing EmployeeVice Presidenty Oct 24, 2018 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1003406497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 W THURBER RD STE 8",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857056821",
            "telephone_number": "520-305-9605",
            "fax_number": "520-305-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 W THURBER RD STE 8",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857056821",
            "telephone_number": "520-305-9605",
            "fax_number": "520-305-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "JAUREGUI",
        "authorized_official_first_name": "JOAQUIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-247-4913"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.