Disability Care Direct

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DISABILITY CARE DIRECT

Doing business as

Disability Care Direct

Practice address

15 21St St S Ste 205
Fargo, ND 58103-1435

Phone

(612) 607-9281

Fax

(701) 478-3023

NPI assigned

Aug 5, 2021

Last updated

Aug 5, 2021By 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

Gibson Wright Jerue

Title

Executive Director

Phone

(612) 607-9281

Specialties & licenses 1

Addresses

Other names 1

• DISABILITY CARE DIRECT Doing business as

Locations

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1801560644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 21ST ST S STE 205",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031435",
            "telephone_number": "612-607-9281",
            "fax_number": "701-478-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 21ST ST S STE 205",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031435",
            "telephone_number": "612-607-9281",
            "fax_number": "701-478-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISABILITY CARE DIRECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "JERUE",
        "authorized_official_first_name": "GIBSON",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-607-9281"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DISABILITY CARE DIRECT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.