Active NPI
Dera Healthcare System Inc.
- Home Health Agency
- Desoto, TX
National Provider Identifier
1902196546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.