Organization Active NPI

Devoted Home Care, LLC

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1083076202
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2527L Issued in NY
Legal business name
DEVOTED HOME CARE, LLC
Practice address
6701 Bay Pkwy PH Floor
Brooklyn, NY 11204-4749
Phone
(347) 745-6600
Fax
(347) 745-6999
NPI assigned
Mar 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Mark Lerner
Title
Owner
Phone
(917) 945-7640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2527L NY Primary

Addresses

Primary practice location

6701 Bay Pkwy PH Floor
Brooklyn, NY 11204-4749

Mailing address

6701 Bay Pkwy PH Floor
Brooklyn, NY 11204-4749
Phone (347) 745-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220228002022 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7416341854 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

6701 Bay Pkwy
Ph
Brooklyn, NY 11204
Phone (347) 745-6600

NPI Registry JSON

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1083076202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 BAY PKWY PH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044749",
            "telephone_number": "347-745-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 BAY PKWY PH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044749",
            "telephone_number": "347-745-6600",
            "fax_number": "347-745-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-26",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-945-7640"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2527L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.