Direct Healthcare South Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

19234287 Issued in NM

Legal business name

DIRECT HEALTHCARE SOUTH INC

Practice address

101 Livingston Loop
Suite 5
Santa Teresa, NM 88008

Phone

(575) 589-2555

Fax

(575) 588-2499

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard Brito, MA OTR

Title

Manager

Phone

(505) 589-2555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Direct Healthcare Former legal business name

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1891848131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LIVINGSTON LOOP",
            "address_2": "SUITE 5",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "88008",
            "telephone_number": "575-589-2555",
            "fax_number": "575-588-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LIVINGSTON LOOP",
            "address_2": "SUITE 5",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "88008",
            "telephone_number": "575-589-2555",
            "fax_number": "575-588-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT HEALTHCARE SOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BRITO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-589-2555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA OTR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "19234287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19234287",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Healthcare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.