Provider Demographics
NPI:1871251355
Name:DEVON HEALTH LLC
Entity type:Organization
Organization Name:DEVON HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEN
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:EVERTS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:916-296-5866
Mailing Address - Street 1:3430 INDEPENDENCE DR STE 20
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-8327
Mailing Address - Country:US
Mailing Address - Phone:205-208-9466
Mailing Address - Fax:
Practice Address - Street 1:3430 INDEPENDENCE DR STE 20
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209
Practice Address - Country:US
Practice Address - Phone:205-208-9466
Practice Address - Fax:205-208-9556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health