Organization Active NPI

Devoted Personal Services LLC

  • In Home Supportive Care Agency
  • Anderson, IN
National Provider Identifier
1912542143
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DEVOTED PERSONAL SERVICES LLC
Practice address
1304 Main St
Anderson, IN 46016-1786
Phone
(317) 289-5165
NPI assigned
Nov 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Cody Kendall, PSA
Title
Manager
Phone
(317) 289-5165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1304 Main St
Anderson, IN 46016-1786

Mailing address

1304 Main St
Anderson, IN 46016-1786

Other identifiers 1

IdentifierTypeStateIssuer
190147461OtherINSTATE OF INDIANA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwkendall@hotmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1912542143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 MAIN ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 MAIN ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161786",
            "telephone_number": "317-289-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED PERSONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-289-5165",
        "authorized_official_credential": "PSA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF INDIANA",
            "identifier": "190147461",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwkendall@hotmail.com",
            "affiliation": "N",
            "address_1": "1304 Main St",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460161786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.