Active NPI
Devotedcareathomellc
- Home Health Agency
- Erie, PA
National Provider Identifier
1063126456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DEVOTEDCAREATHOMELLC
- Practice address
- 4145 Davison Ave
Erie, PA 16504-2521 - Phone
- (814) 844-4783
- NPI assigned
- Jan 10, 2023
- Last updated
- Jan 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latrease Oatis, LPN
- Title
- Owner
- Phone
- (814) 844-4783
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
4145 Davison Ave
Erie, PA 16504-2521
Mailing address
4145 Davison Ave
Erie, PA 16504-2521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6673 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LOATIS@DEVOTEDCAREATHOME.COM | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Devoted Care at Home LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Erie, PA
- NPI 1235843970
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Licensed Practical Nurse
- Lancaster, PA
- NPI 1730038597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673308800000",
"number": "1063126456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4145 DAVISON AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165042521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4145 DAVISON AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165042521",
"telephone_number": "814-844-4783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVOTEDCAREATHOMELLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-10",
"last_updated": "2023-01-10",
"certification_date": "2023-01-08",
"status": "A",
"authorized_official_last_name": "OATIS",
"authorized_official_first_name": "LATREASE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-844-4783",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6673",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "LOATIS@DEVOTEDCAREATHOME.COM",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4145 Davison Ave",
"city": "Erie",
"state": "PA",
"country_code": "US",
"postal_code": "165042521",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.