Direct Care Medical Staffing LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

207368 Issued in CA

Legal business name

DIRECT CARE MEDICAL STAFFING LLC

Practice address

38573 Ladelle Ave
Palmdale, CA 93550-4021

Phone

(661) 974-0381

Fax

(800) 805-6769

NPI assigned

Mar 8, 2008

Last updated

Mar 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Cedric Harbert, LVN

Title

Administrator

Phone

(661) 974-0381

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204934400000",
    "number": "1164692828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38573 LADELLE AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504021",
            "telephone_number": "661-974-0381",
            "fax_number": "800-805-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38573 LADELLE AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504021",
            "telephone_number": "661-974-0381",
            "fax_number": "800-805-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT CARE MEDICAL STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-08",
        "last_updated": "2008-03-08",
        "status": "A",
        "authorized_official_last_name": "HARBERT",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-974-0381",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "207368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2008; 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.