Devonshire Al Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DEVONSHIRE AL OPERATIONS, LLC

Doing business as

Bellaire at Devonshire

Practice address

5 Bexley Dr
Scott Depot, WV 25560-4504

Phone

(304) 760-5290

Fax

(681) 235-7155

NPI assigned

Sep 24, 2020

Last updated

Sep 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyler Holsclaw

Title

Business Office Manager

Phone

(304) 760-5290

Specialties & licenses 1

Addresses

Other names 1

• Bellaire at Devonshire Doing business as

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1265049175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BEXLEY DR",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255604504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BEXLEY DR",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255604504",
            "telephone_number": "304-760-5290",
            "fax_number": "681-235-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVONSHIRE AL OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "HOLSCLAW",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "304-760-5290"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellaire at Devonshire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott A Cyrus, R.PH.
• Destini Dailey
• Jeannie Dailey
• Krista Dailey
• Erika Kim Davis, MA
• Amanda Dowell
• DRS Wilson and Martino of Teays Valley, PLLC
• Nancy K. Dunn, ED.D., APRN, BC, NP
• Amanda Stephens Dye, M.D.
• Daniel Eddy

• Assisted Living Facility in Scott Depot, WV
• Providers in Scott Depot, WV by specialty
• Assisted Living Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.