Direct Home Care Services LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DIRECT HOME CARE SERVICES LLC

Practice address

19449 Rush St NW
Elk River, MN 55330-4132

Phone

(763) 898-9162

NPI assigned

Apr 12, 2022

Organization subpart

No

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

Authorized official

Name

Sam G TotimehNPI 1699301309

Title

President & Ceo

Phone

(763) 898-9162

Specialties & licenses 4

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sam G Totimeh

  • Registered Nurse First Assistant
  • Coon Rapids, MN
  • NPI 1699301309
  NPD Authorized official

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1114669801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19449 RUSH ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304132",
            "telephone_number": "763-898-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19449 RUSH ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304132",
            "telephone_number": "763-898-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "TOTIMEH",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "763-898-9162"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Robert Dean, PHARM D
• Angela K Dee-Ellingson, PT
• Dekals Home Care
• Cyndie Deridder, LICSW
• Thomas Dewall, D.C.
• Directcare Chiropractic, PA (HealthSource Chiropractic of Elk River)
• Ronda Marie Disch
• Divine Life LLC
• Carol Ann Dobson
• Laura Colleen Dockendorf, DC

• Assisted Living Facility in Elk River, MN
• Providers in Elk River, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.