Organization · Type 2 NPI

Devoted Lifestyle Housing Llc.

Home Health Agency · Poway, CA

NPI number 1609765353 Active

Practice location

15017 Hesta St
Poway, CA 92064-2607

Specialties and licenses

Taxonomy	Code	License
Case Management Registered Nurse	163WC0400X	None listed
Home Health Agency Primary	251E00000X	None listed
Home Delivered Meals	332U00000X	None listed
Respite Care	385H00000X	None listed
Child Physical Disabilities Respite Care	385HR2065X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1609765353
Entity type: Organization (Type 2)
Issued: Jun 30, 2025
Last updated: Jun 30, 2025
Status: Active
Subpart: Yes of Devoted Lifestyle Housing LLC

Other names

Devoted Lifestyle · doing business as

Authorized official

Vanessa C Chavez-Harris
Chief Finacial Manager
(760) 215-5498

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609765353

Devoted Lifestyle Housing Llc.'s National Provider Identifier is 1609765353, issued on Jun 30, 2025. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Poway, CA. The record was last updated on Jun 30, 2025.