Direct Care Medical Respite Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

207368 Issued in CA

Legal business name

DIRECT CARE MEDICAL RESPITE INC.

Practice address

38713 Tierra Subida Ave
200-185
Palmdale, CA 93551-4562

Phone

(661) 860-2167

Fax

(611) 233-9817

NPI assigned

Oct 17, 2009

Last updated

Jun 18, 2014By 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. Cedric Harbert, LVNNPI 1255501912

Title

Director

Phone

(661) 860-2167

Specialties & licenses 4

Addresses

Locations

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.

• Cedric Harbert, LVN

  • Licensed Vocational Nurse
  • Bakersfield, CA
  • NPI 1255501912
  NPD (past) Authorized official

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

{
    "created_epoch": "1255737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1649506171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38713 TIERRA SUBIDA AVE",
            "address_2": "200-185",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514562",
            "telephone_number": "661-860-2167",
            "fax_number": "661-233-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38713 TIERRA SUBIDA AVE",
            "address_2": "200-185",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514562",
            "telephone_number": "661-860-2167",
            "fax_number": "611-233-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT CARE MEDICAL RESPITE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-17",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "HARBERT",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "661-860-2167",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "207368",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "207368",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CA",
            "license": "207368",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "207368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K Diaz
• Monet Diaz
• Sophia Digiovanni
• Dignity Detox Center
• Stephanie Dinome, LMFT
• Direct Care Medical Staffing LLC
• George Hewitt Dixon Jr.
• Cuong Manh DO, PHARMD
• Devyn R Dodge, DPT
• Domenick J Sisto M D Inc (Los Angeles Orthopaedic Institute)

• Case Management Agency in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.