Active NPI
Dedra Dickens
- Homemaker
- Rocky Mount, NC
National Provider Identifier
1922849181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 112 N Circle Dr Ste E
Rocky Mount, NC 27804-2429 - Phone
- (877) 652-2907
- NPI assigned
- Jun 3, 2024
- Last updated
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HC7440 | NC | |
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
112 N Circle Dr Ste E
Rocky Mount, NC 27804-2429
Mailing address
PO Box 7623
Rocky Mount, NC 27804-0623
Phone (252) 604-0577
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
| License | State | Type | Specialty |
|---|---|---|---|
| HC7440 | NC | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Praise Homecare Inc | Current | Accepting new patients | |
| Advantage Global Solutions, LLC | Current | Accepting new patients | |
| Praise Homecare Inc | Current | Accepting new patients |
Locations
112 N Circle Dr
Ste E
Rocky Mount, NC 27804
Phone (252) 210-3418
Organizations & group practices 3
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.
-
dba Praise Homecare
- Home Health Agency
- Rocky Mount, NC
- NPI 1548834161
-
- In Home Supportive Care Agency
- Rocky Mount, NC
- NPI 1285475335
-
- In Home Supportive Care Agency
- Rocky Mount, NC
- NPI 1780427898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1922849181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7623",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278040623",
"telephone_number": "252-604-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N CIRCLE DR STE E",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042429",
"telephone_number": "877-652-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKENS",
"first_name": "DEDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NC",
"license": "HC7440",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.