Organization Active NPI

Devoted Assistance Inc.

  • In Home Supportive Care Agency
  • Dallas, TX
National Provider Identifier
1316306566
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DEVOTED ASSISTANCE INC.
Practice address
1309 Oak Meadows Dr
Dallas, TX 75232-1543
Phone
(860) 880-0256
Fax
(972) 476-0971
NPI assigned
Feb 16, 2016
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Mr. Henry Travis Young Jr.
Title
President/Administrator
Phone
(860) 880-0256

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1309 Oak Meadows Dr
Dallas, TX 75232-1543

Mailing address

2807 Allen St Ste 2034
Dallas, TX 75204-1031
Phone (860) 880-2560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220511002428 TX Part B Supplier - Independent Clinical Laboratory 9739566886 Practice locations: Dallas, TX; Lubbock, TX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1316306566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 ALLEN ST STE 2034",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041031",
            "telephone_number": "860-880-2560",
            "fax_number": "972-476-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 OAK MEADOWS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321543",
            "telephone_number": "860-880-0256",
            "fax_number": "972-476-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED ASSISTANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "860-880-0256",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.