Provider Demographics
NPI:1477367241
Name:DJK HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:DJK HOME HEALTHCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GAUT
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:806-352-7577
Mailing Address - Street 1:901 WATERFALL WAY STE 105
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-6753
Mailing Address - Country:US
Mailing Address - Phone:972-661-3737
Mailing Address - Fax:972-661-3721
Practice Address - Street 1:205 W BOUTZ RD BLDG 2 STE A
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-8800
Practice Address - Country:US
Practice Address - Phone:575-888-3404
Practice Address - Fax:575-888-3425
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DJK HOME HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-03
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No385H00000XRespite Care FacilityRespite Care