Organization Active NPI

Devoted Care, LLC

  • In Home Supportive Care Agency
  • Columbia, SC
National Provider Identifier
1336573526
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DEVOTED CARE, LLC
Practice address
7340 Parklane Rd Ste 203
Columbia, SC 29223-7644
Phone
(803) 763-1163
Fax
(803) 764-1164
NPI assigned
Aug 25, 2013
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Mrs. Kimbale Lanette Mack
Title
Owner/Operator
Phone
(803) 479-6297

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7340 Parklane Rd Ste 203
Columbia, SC 29223-7644

Mailing address

7340 Parklane Rd Ste 203
Columbia, SC 29223-7644
Phone (803) 764-1163

Other practice location 1

429 Spring Oak Ln
Columbia, SC 29229-7165
Phone (803) 800-4420

National Provider Directory

National Provider Directory

Locations

7340 Parklane Rd
Ste 203
Columbia, SC 29223
Phone (803) 763-1163

NPI Registry JSON

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

{
    "created_epoch": "1377388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1336573526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 PARKLANE RD STE 203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237644",
            "telephone_number": "803-764-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 PARKLANE RD STE 203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237644",
            "telephone_number": "803-763-1163",
            "fax_number": "803-764-1164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 Spring Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292297165",
            "country_code": "US",
            "telephone_number": "803-800-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEVOTED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-25",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KIMBALE",
        "authorized_official_middle_name": "LANETTE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "803-479-6297",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.