Healthcare Provider Details

I. General information

NPI: 1477367241
Provider Name (Legal Business Name): DJK HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W BOUTZ RD BLDG 2 STE A
LAS CRUCES NM
88005-8800
US

IV. Provider business mailing address

901 WATERFALL WAY STE 105
RICHARDSON TX
75080-6753
US

V. Phone/Fax

Practice location:
  • Phone: 575-888-3404
  • Fax: 575-888-3425
Mailing address:
  • Phone: 972-661-3737
  • Fax: 972-661-3721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KARA LYNN GAUT
Title or Position: CEO
Credential: MSN, RN
Phone: 806-352-7577