Organization Active NPI

SDS Preferred Home Care Agency

  • Health & Wellness Coach
  • Gadsden, AL
National Provider Identifier
1083458087
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
SDS PREFERRED HOME CARE AGENCY
Practice address
SD Preferred Home Care Agency
1014A Peachtree St
Gadsden, AL 17109
Phone
(717) 614-7812
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Doretha Shante Donald
Title
Ceo
Phone
(717) 614-7812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

SD Preferred Home Care Agency
1014A Peachtree St
Gadsden, AL 17109

Mailing address

1014A Peachtree St
Gadsden, AL 35901-3968
Phone (717) 614-7812

Other names 1

  • SDs Preferred Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1083458087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014A PEACHTREE ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013968",
            "telephone_number": "717-614-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SD PREFERRED HOME CARE AGENCY",
            "address_2": "1014A PEACHTREE ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "17109",
            "telephone_number": "717-614-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDS PREFERRED HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "DONALD",
        "authorized_official_first_name": "DORETHA",
        "authorized_official_middle_name": "SHANTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-614-7812"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SDs Preferred",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

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