Healthcare Provider Details

I. General information

NPI: 1780517045
Provider Name (Legal Business Name): DLCT HOLDING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2033 GATEWAY PL FL 5
SAN JOSE CA
95110-3709
US

IV. Provider business mailing address

2033 GATEWAY PL FL 5
SAN JOSE CA
95110-3709
US

V. Phone/Fax

Practice location:
  • Phone: 408-290-9118
  • Fax:
Mailing address:
  • Phone: 408-290-9118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: DEVONTE COOKS-THOMAS
Title or Position: CEO
Credential:
Phone: 408-290-9118