Dektos LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

DEKTOS LLC

Doing business as

Widom Senior Care
Wisdom Senior Care

Practice address

1241 S Main St Ste 24B
Wake Forest, NC 27587-9494

Phone

(919) 263-1165

Fax

(984) 401-0500

NPI assigned

Dec 21, 2022

Last updated

Dec 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

Mr. David Riley Sr.

Title

Agency Director

Phone

(919) 263-1165

Specialties & licenses 1

Addresses

Other names 2

• Widom Senior Care Doing business as
• Wisdom Senior Care Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1700598778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 S MAIN ST STE 24B",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879494",
            "telephone_number": "919-263-1165",
            "fax_number": "984-401-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 S MAIN ST STE 24B",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879494",
            "telephone_number": "919-263-1165",
            "fax_number": "984-401-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKTOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-263-1165",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.riley@wisdomseniorcare.com",
            "affiliation": "N",
            "address_1": "1241 S Main St Ste 24B",
            "city": "Wake Forest",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275879494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Widom Senior Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wisdom Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Matheson Davis, DDS
• Giuliana Dawes
• Karen Dawson
• Stefani Strauss Dean, MA, CCC-SLP
• Michael R. Dearstyne, D.D.S.
• Rebecca Anne Delarosa, NP
• Bethany Chyanne Dement, LCMHCA
• Breanna Dent, DNP, PMHNP-BC, RN
• James Derse, LCMHCA
• Joanna R Desupinski

• Home Health Aide in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Home Health Aide in North Carolina

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