Individual provider Active NPI

Dora Orena Lashley

  • In Home Supportive Care Agency
  • Desloge, MO
National Provider Identifier
1871803239
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
LC1052915 Issued in MO
Practice address
503 N Desloge Dr
Desloge, MO 63601-3223
Phone
(573) 518-0333
Fax
(573) 518-0333
NPI assigned
Oct 19, 2010
Last updated
Oct 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X LC1052915 MO
In Home Supportive Care Agency 253Z00000X LC1052915 MO Primary

Addresses

Primary practice location

503 N Desloge Dr
Desloge, MO 63601-3223

Mailing address

503 N Desloge Dr
Desloge, MO 63601-3223
Phone (573) 518-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC1052915MOMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1871803239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N DESLOGE DR",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636013223",
            "telephone_number": "573-518-0333",
            "fax_number": "573-518-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N DESLOGE DR",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636013223",
            "telephone_number": "573-518-0333",
            "fax_number": "573-518-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHLEY",
        "first_name": "DORA",
        "middle_name": "ORENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "LC1052915",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "LC1052915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desloge, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.