Deidra Davis
Individual provider Active NPI Home Health Agency · Raymore, MO
NPI 1629946223 · NPPES record last updated Oct 27, 2025
Key facts
- NPI
- 1629946223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 1202 Dunvegan LN
Raymore, MO 64083-7880 - Phone
- (469) 408-8566
- NPI assigned
- Oct 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1202 Dunvegan LN
Raymore, MO 64083-7880
Mailing address
1202 Dunvegan LN
Raymore, MO 64083-7880
Phone (469) 408-8566
Other providers in Raymore, MO
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- Dan & Lee, LLC
- Kelly Ann Dancho
- David M Smith DDS MD LLC
- Tiffany Davis
- Diligent Care Health Services LLC
- Leah Diorio
- Jessica Doane
- Doxey and Associates, LLC
All providers in Raymore, MO · Home Health Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.