Healthcare Provider Details

I. General information

NPI: 1831055169
Provider Name (Legal Business Name): DJM HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2035 LAKESIDE LOFTS CIR
CARY NC
27513-2143
US

IV. Provider business mailing address

2035 LAKESIDE LOFTS CIR
CARY NC
27513-2143
US

V. Phone/Fax

Practice location:
  • Phone: 702-738-2555
  • Fax:
Mailing address:
  • Phone: 919-884-8840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVISHA JOYCE MILLER
Title or Position: OWNER
Credential:
Phone: 919-884-8840