Dedric Lee Sr.

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

527 N Laburnum Ave Apt 2
Richmond, VA 23223

Phone

(804) 787-4499

NPI assigned

Feb 20, 2017

Last updated

Aug 21, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Deric Lee Sr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heaven Lee Hands Home Healthcare LLC

  • Home Health Agency
  • Richmond, VA
  • NPI 1588145163
  NPD Authorized official

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1811436199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N LABURNUM AVE APT 2",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232232943",
            "telephone_number": "804-787-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N LABURNUM AVE APT 2",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23223",
            "telephone_number": "804-787-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3615 Chamberlayne Ave Apt A6",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232274583",
            "country_code": "US",
            "telephone_number": "804-787-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DEDRIC",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-20",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DERIC",
            "last_name": "LEE",
            "prefix": "MR.",
            "suffix": "SR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brandi Antoinnette Lee
• Chadd Lee
• Clifton C Lee, M.D.
• David Lee, M.D.
• Davis Michael Lee, MLS(ASCP)CM
• Dennis Lee
• Elizabeth Anderson Lee, D.D.S.
• Estel Lee
• Gene E. Lee, L.C.S.W.
• Glenn Edward Lee, M.D.

• Home Health Aide in Richmond, VA
• Providers in Richmond, VA by specialty
• Home Health Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.