Dickerson Family Enterprise, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

DICKERSON FAMILY ENTERPRISE, LLC

Doing business as

Dee's Senior Home Care
Wheelchair Transport

Practice address

4350 Brownsboro Rd.
Ste. 110
Louisville, KY 40207

Phone

(502) 893-4598

Fax

(502) 893-4597

NPI assigned

Jul 19, 2017

Last updated

Jul 21, 2022By 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

Damita Dickerson

Title

Owner

Phone

(502) 893-4596

Specialties & licenses 1

Addresses

Other names 2

• Dee's Senior Home Care Doing business as
• Wheelchair Transport Doing business as

Locations

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285157586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 BROWNSBORO RD STE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071681",
            "telephone_number": "502-893-4598",
            "fax_number": "502-893-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 BROWNSBORO RD.",
            "address_2": "STE. 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-893-4598",
            "fax_number": "502-893-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKERSON FAMILY ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "DAMITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-893-4596"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dee's Senior Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wheelchair Transport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wheelchair Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Marie Dicicco, PA-C
• John Wesley Dick, PHARMD
• Michael Robert Dick, D.M.D.
• John Dickens, MD, MBA
• Jenna A Dickenson, PSY.D.
• Donald Richard Dickerson III, MD STUDENT
• Jacob Dickerson
• Janae Dickerson
• Kevin Dickerson, APRN
• Crystal Dickey

• Non-emergency Medical Transport (VAN) in Louisville, KY
• Providers in Louisville, KY by specialty
• Non-emergency Medical Transport (VAN) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.