Healthcare Provider Details

I. General information

NPI: 1689506842
Provider Name (Legal Business Name): DIRECT PATHS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CTI 2829 DAKOTA AVE
SOUTH SIOUX CITY NE
68776
US

IV. Provider business mailing address

CIT 2829 DAKOTA AVE
SOUTH SIOUX CITY NE
68776
US

V. Phone/Fax

Practice location:
  • Phone: 402-594-7888
  • Fax:
Mailing address:
  • Phone: 402-594-7886
  • 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: TAMIKO N JONES
Title or Position: OWNER
Credential:
Phone: 402-594-7886