DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAY E DEVILLE, OWNER

Active Sole Proprietor

JAY E DEVILLE, OWNER is a In Home Supportive Care Agency healthcare provider located in ROME, Georgia. NPI 1407508948 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · ROME, GA

Registration Details

NPI Number
1407508948
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2022 (4.5891164511592 yrs)
Last Updated
May 31, 2023
Licenses
057-R-0017 (GA)
057R0017 (GA)
057-R-0017 (GA)
057-R00-17 (GA)
Sole Proprietor
Yes

Practice Information

Address
11 JOHN DAVENPORT DR NW
ROME, GA, 301652509
Browse GA providers · Browse ZIP 30165
Phone
7062907701
Fax
7062907702
Primary Specialty
In Home Supportive Care Agency
253Z00000X
Additional Specialty
Home Health Aide
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.