Organization Active NPI

Direct Care, Inc.

  • In Home Supportive Care Agency
  • Lake Charles, LA
National Provider Identifier
1497253298
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15394 Issued in LA
Legal business name
DIRECT CARE, INC.
Practice address
3006 Common St
Lake Charles, LA 70601-8537
Phone
(337) 436-5001
Fax
(337) 436-5002
NPI assigned
Jan 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Authorized official

Name
Dr. Toby W Osburn
Title
Executive Director/Administrator
Phone
(337) 436-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15394 LA Primary

Addresses

Primary practice location

3006 Common St
Lake Charles, LA 70601-8537

Mailing address

3006 Common St
Lake Charles, LA 70601-8537
Phone (337) 436-5001

Other identifiers 1

IdentifierTypeStateIssuer
2377591MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Direct Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1497253298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 COMMON ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018537",
            "telephone_number": "337-436-5001",
            "fax_number": "337-436-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 COMMON ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018537",
            "telephone_number": "337-436-5001",
            "fax_number": "337-436-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "OSBURN",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "337-436-5001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "15394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2377591",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.