Pamela S Devore

Individual provider Active NPI Home Health Agency · Andrews, NC

NPI 1205979259 · NPPES record last updated Apr 6, 2010

Key facts

NPI
1205979259
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Agency 251E00000X
License
HC2119 (NC)
Practice address
445 Main St
Suite 5
Andrews, NC 28901-9648
Phone
(828) 321-2657
Fax
(828) 321-2657
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
HC2119NCMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Touch Assisted Living Past Accepting new patients
Personal Touch Assisted Living Home Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2119 NC Yes

Addresses

Primary practice location

445 Main St
Suite 5
Andrews, NC 28901-9648

Mailing address

445 Main St
Suite 5
Andrews, NC 28901-9648
Phone (828) 321-2657

Other identifiers

IdentifierTypeStateIssuer
6600809MedicaidNC

Other providers in Andrews, NC

All providers in Andrews, NC · Home Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.