Organization Active NPI

Dera Healthcare System Inc.

  • Home Health Agency
  • Desoto, TX
National Provider Identifier
1902196546
Registry record updated Apr 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DERA HEALTHCARE SYSTEM INC.
Practice address
628 Snapdragon LN
Desoto, TX 75115-6658
Phone
(972) 223-9955
Fax
(972) 223-9955
NPI assigned
Apr 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2011

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

Authorized official

Name
Mrs. Ifeoma Louisa Uzomah
Title
Administrator and Owner
Phone
(972) 223-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

628 Snapdragon LN
Desoto, TX 75115-6658

Mailing address

628 Snapdragon LN
Desoto, TX 75115-6658
Phone (972) 223-9955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302912000000",
    "number": "1902196546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 SNAPDRAGON LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751156658",
            "telephone_number": "972-223-9955",
            "fax_number": "972-223-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 SNAPDRAGON LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751156658",
            "telephone_number": "972-223-9955",
            "fax_number": "972-223-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERA HEALTHCARE SYSTEM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-16",
        "last_updated": "2011-04-16",
        "status": "A",
        "authorized_official_last_name": "UZOMAH",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_middle_name": "LOUISA",
        "authorized_official_title_or_position": "ADMINISTRATOR AND OWNER",
        "authorized_official_telephone_number": "972-223-9955",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; 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.