Derby Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DERBY HOME CARE LLC

Practice address

1657 Commerce Dr
South Bend, IN 46628-1546

Phone

(574) 440-2869

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Mike Derby

Title

Owner

Phone

(574) 440-2869

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1013533108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 COMMERCE DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466281546",
            "telephone_number": "574-440-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 COMMERCE DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466281546",
            "telephone_number": "574-440-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERBY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "DERBY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-440-2869"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Deogracias, M.D.
• Jasjit Deol
• Arthur Philip Depauw, M.D.
• Miranda Depoy
• D'Angela Depriest Bey
• Renee Louise Derosa, MSW
• Jon Anthony Desmarais, P.T.
• Paul Herman Desmarais, M.D.
• Melinda Deubner, PHARMD
• Developmental Neuropsychological Services, P.C.

• In Home Supportive Care Agency in South Bend, IN
• Providers in South Bend, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.