Davery Ezell Joseph

Primary specialty

Respite CareTaxonomy code 385H00000X

Practice address

7754 Mountain Laurel Dr
Colorado Springs, CO 80922-6306

Phone

(719) 619-6362

NPI assigned

Nov 12, 2024

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C7 Records LLC

  dba Elohim's Respite Services

  • Respite Care
  • Colorado Springs, CO
  • NPI 1043034523
  NPD Authorized official

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1013731587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7754 MOUNTAIN LAUREL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809226306",
            "telephone_number": "719-619-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7754 MOUNTAIN LAUREL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809226306",
            "telephone_number": "719-619-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "DAVERY",
        "middle_name": "EZELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Sue Jorgenson, L.C.S.W.
• Jose Soto
• Joseph C Hammock PHD PC
• Joseph C Ruskin Enterprises Inc (Pikes Peak Pharmacy)
• Joseph Yeretsian, PC (OptiMindHealth)
• Fareeha Joseph
• Francis F Joseph, MD
• James Josepha,
• Janak G Joshi, MD
• Joshua D Carter DDS PLLC (Northgate Dental)

• Respite Care in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Respite Care in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.