Staci-Love Devereaux

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

2140 8TH St NE
Canton, OH 44704-2218

Phone

(330) 481-3650

NPI assigned

Jan 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1114633005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 8TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447042218",
            "telephone_number": "330-481-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 8TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447042218",
            "telephone_number": "330-481-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVEREAUX",
        "first_name": "STACI-LOVE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Despres
• Linda Detamore
• Gretchen Deubner, CRNA
• Helen Amy Devaul, BSN RN
• Developing Angels
• Lorena Carolina Devia, RDN, LD
• Robert Devies, PHD
• John Joseph Devito, OD
• Randall Devney, LSW
• Laurel Devoe, RDN, LD

• Home Health Aide in Canton, OH
• Providers in Canton, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.