Organization Active NPI

Devoted Care Assisted Living Services LLC

  • Home Health Agency
  • Blue Ash, OH
National Provider Identifier
1871263194
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEVOTED CARE ASSISTED LIVING SERVICES LLC
Practice address
10979 Reed Hartman Hwy
Blue Ash, OH 45242-2800
Phone
(513) 400-1855
NPI assigned
Sep 17, 2021
Last updated
Sep 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Mr. Quincey L Montgomery, MBA
Title
Ceo
Phone
(513) 400-1855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10979 Reed Hartman Hwy
Blue Ash, OH 45242-2800

Mailing address

10979 Reed Hartman Hwy
Blue Ash, OH 45242-2800
Phone (513) 400-1855

Other identifiers 1

IdentifierTypeStateIssuer
0451477MedicaidOH

National Provider Directory

National Provider Directory

Locations

10979 Reed Hartman Hwy
Blue Ash, OH 45242
Phone (513) 400-1855

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1871263194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10979 REED HARTMAN HWY",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422800",
            "telephone_number": "513-400-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10979 REED HARTMAN HWY",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422800",
            "telephone_number": "513-400-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED CARE ASSISTED LIVING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "QUINCEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-400-1855",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451477",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.