Direct Healthcare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIRECT HEALTHCARE

Practice address

5309 Sultan St
Las Vegas, NM 87701-8902

Phone

(505) 425-7471

Fax

(505) 425-6477

NPI assigned

Oct 25, 2006

Last updated

Aug 26, 2024By 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. Danny Downs

Title

Owner

Phone

(505) 425-7471

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8422/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1619052107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 SULTAN ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877018902",
            "telephone_number": "505-425-7471",
            "fax_number": "505-454-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 SULTAN ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877018902",
            "telephone_number": "505-425-7471",
            "fax_number": "505-425-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-425-7471",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87885735",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dominique Jodie Dosedo

• In Home Supportive Care Agency in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• In Home Supportive Care Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.