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Jay E Deville, OWNER
In Home Supportive Care Agency in Rome, Georgia
NPI 1407508948

Jay E Deville is a In Home Supportive Care Agency based in Rome, GA. Jay E Deville practices in Rome, GA and has the professional credentials of OWNER. The NPI Number for Jay E Deville is 1407508948 and holds a License No. 057-R-0017 (Georgia).

The current practice location address for Jay E Deville is 11 John Davenport Dr Nw, Rome, GA and can be reached out via phone at 706-290-7701 and via fax at 706-290-7702. You can also correspond with Jay E Deville through the mailing address at 11 JOHN DAVENPORT DR NW, ROME, GA - 30165-2509 (mailing address contact number: 706-290-7701).

Location: 11 John Davenport Dr Nw, Rome, GA, 30165-2509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407508948
Provider Name
Jay E Deville
Credential
OWNER
Provider Entity Type
Individual
Gender
Male
Address
11 John Davenport Dr Nw, Rome, GA, 30165-2509
Phone Number
706-290-7701
Fax Number
706-290-7702
Provider Enumeration Date
01/26/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1770031478 05 GA
institution
Provider Business Practice Location Address Details
Address
11 John Davenport Dr Nw
City
Rome
State
Georgia
Zip
30165-2509
Phone Number
706-290-7701
Fax Number
706-290-7702
person
Provider Business Mailing Address Details
Address
11 John Davenport Dr Nw
City
Rome
State
Georgia
Zip
30165-2509
Phone Number
706-290-7701
Fax Number
706-290-7702
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
057-R-0017 (Georgia)
Definition
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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
057R0017 (Georgia)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
057-R-0017 (Georgia)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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