NPIMap

Organization Active NPI

Distinctive Healthcare Services, LLC

  • In Home Supportive Care Agency
  • Baton Rouge, LA
National Provider Identifier
1275768137
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
PCA15216 Issued in LA
Legal business name
DISTINCTIVE HEALTHCARE SERVICES, LLC
Practice address
11762 S Harrells Ferry Rd Ste C
Baton Rouge, LA 70816-2398
Phone
(225) 291-4988
Fax
(225) 291-4986
NPI assigned
May 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Sekari Washington DavisNPI 1801020128
Title
Owner
Phone
(225) 291-4988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X PCA15216 LA Primary

Addresses

Primary practice location

11762 S Harrells Ferry Rd Ste C
Baton Rouge, LA 70816-2398

Mailing address

11762 S Harrells Ferry Rd Ste C
Baton Rouge, LA 70816-2398
Phone (225) 291-4988

National Provider Directory

National Provider Directory
Tax ID family
Distinctive Healthcare Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1275768137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 S HARRELLS FERRY RD STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162398",
            "telephone_number": "225-291-4988",
            "fax_number": "225-291-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11762 S HARRELLS FERRY RD STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162398",
            "telephone_number": "225-291-4988",
            "fax_number": "225-291-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINCTIVE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SEKARI",
        "authorized_official_middle_name": "WASHINGTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-291-4988"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "PCA15216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.