Organization Active NPI

Employer Direct Healthcare, LLC

  • Case Management Agency
  • Dallas, TX
National Provider Identifier
1083156533
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EMPLOYER DIRECT HEALTHCARE, LLC
Practice address
2100 Ross Ave Ste 550
Dallas, TX 75201-2739
Phone
(855) 290-2999
NPI assigned
Nov 15, 2016
Last updated
Jul 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Authorized official

Name
Ryan Rostenkowski
Title
Chief Operating Officer
Phone
(972) 590-1706

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Exclusive Provider Organization 302F00000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

2100 Ross Ave Ste 550
Dallas, TX 75201-2739

Mailing address

2100 Ross Ave Ste 550
Dallas, TX 75201-2739
Phone (855) 290-2999

National Provider Directory

National Provider Directory

Locations

2100 Ross Ave
Ste 550
Dallas, TX 75201
Phone (855) 290-2999

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1083156533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ROSS AVE STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012739",
            "telephone_number": "855-290-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ROSS AVE STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012739",
            "telephone_number": "855-290-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPLOYER DIRECT HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "ROSTENKOWSKI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "972-590-1706"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.