Devoted Care and Transition Services-Hospice, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

DEVOTED CARE AND TRANSITION SERVICES-HOSPICE, LLC

Doing business as

N/a

Practice address

429 Spring Oak LN
Columbia, SC 29229-7165

Phone

(803) 764-1163

Fax

(803) 764-1164

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Phone

(803) 764-1163

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• N/A Doing business as

Tax ID family

Devoted Care and Transition Services Hospice LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Devoted Care and Transition Services-Hospice, LLC

  • Health Service Clinic/Center
  • Columbia, SC
  • NPI 1588036800
  NPD tax ID

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1710356464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 SPRING OAK LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297165",
            "telephone_number": "803-764-1163",
            "fax_number": "803-764-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 SPRING OAK LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297165",
            "telephone_number": "803-764-1163",
            "fax_number": "803-764-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED CARE AND TRANSITION SERVICES-HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KIMBALE",
        "authorized_official_middle_name": "LANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-764-1163",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336573526",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn Devine
• Grechia Stanley Devito, OPTICIAN
• Charlie W Devlin, MD
• Dagmar M. Devlin, FNP-BC
• Devoted Care and Transition Services-Hospice, LLC
• Devoted Care, LLC
• Katrina Renee Dewberry, LPC
• Daniel Zeb Deweese, B.A.
• James Michael Deweese, RPH
• Kayla Dewelt

• Health Maintenance Organization in Columbia, SC
• Providers in Columbia, SC by specialty
• Health Maintenance Organization in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.