GRIFFIN HOME CARE HAVEN (NPI# 1023204179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023204179 |
| Entity Type | Organization |
| Organization Name | GRIFFIN HOME CARE HAVEN |
| Other Organization Name | GRIFFIN HOME CARE HAVEN |
| Practice Address |
1208 Whispering Cir Dallas TX 75241-2035 |
| Practice Telephone | 2143726831 |
| Practice Fax Number | 2143721743 |
| Mailing Telephone | 2143726831 |
| Mailing Fax Number | 2143721743 |
| Enumeration Date | 2007-09-22 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | MR. DARRENCE E GRIFFIN SR. (OWNER) |
| Authorized Official Telephone | 2147258332 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 142149 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Griffin Home Care Haven | Doing Business As Name - Organization |
| Street Address |
1208 WHISPERING CIR |
| City | DALLAS |
| State | TX |
| Zip Code | 75241-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265908453 | Darrence E Griffin Sr. | Assisted Living Facility | 1208 Whispering Cir, Dallas, TX 75241-2035 | 2018-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649888777 | Sonya Williams | Licensed Practical Nurse | 3481 Pinebrock Dr, Dallas, TX 75241 | 2020-07-15 |
| 1346700259 | Angel Vales | Counselor | 5520 Langdon Rd, Dallas, TX 75241 | 2019-03-25 |
| 1144708611 | Brandie L Mccray | Counselor | 155 Idlewheat Ln, Dallas, TX 75241 | 2018-08-06 |
| 1649792144 | Jessica Franco Skinner | Social Worker | 5520 Langdon Rd., Suite B, C/o Wilmer Hutchins Youth and Family Center, Dallas, TX 75241 | 2017-07-17 |
| 1659790756 | Michele S Gomez | Technician | 3984 Texas College Drive, Dallas, TX 75241 | 2014-04-16 |
| 1013223494 | Jennifer Peterson | Assisted Living Facility | 4160 Clark College Dr., Dallas, TX 75241 | 2010-08-24 |
| 1447561394 | Tricia Davis | Social Worker | 1568 Sax Leigh Dr, Dallas, TX 75241 | 2010-06-25 |
| 1871804989 | Sonya Williams | Case Management | 3481pinebrook Dr, Dallas, TX 75241 | 2010-06-24 |
| 1144468414 | Edwin Ng | Dentist | 1500 E Langdon Rd, Dallas, TX 75241 | 2009-01-26 |
| 1578709135 | Lynita Teresa Fisher | Registered Nurse | 1244 Serenade Lane, Dallas, TX 75241 | 2008-12-31 |
| Find all providers in zip 75241 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215492483 | Talco House Assisted Living | Assisted Living Facility | 2328 Talco Dr, Dallas, TX 75241-1423 | 2019-02-01 |
| 1174017057 | Blessings of Love Corporation | Assisted Living Facility | 1208 Willow Glen Dr, Dallas, TX 75232-2438 | 2018-06-14 |
| 1497250005 | Entrust Senior Living of Desoto LLC | Assisted Living Facility | 8027 W Virginia Dr, Dallas, TX 75237-3767 | 2018-03-26 |
| 1235646902 | Dominique Brackens | Assisted Living Facility | 6005 Park Manor Dr, Dallas, TX 75241-5241 | 2018-01-04 |
| 1265942338 | Kimberlee Williams | Assisted Living Facility | 7412 S Lancaster Rd, Dallas, TX 75241-5713 | 2017-10-03 |
| 1245754381 | Sharon Denise Gamble King | Assisted Living Facility | 7412 Lake June Rd, Dallas, TX 75217-1644 | 2017-07-31 |
| 1235681594 | Mason's Personal Care Homes #2 | Assisted Living Facility | 10451 Summer Oaks Dr, Dallas, TX 75227-7681 | 2016-11-02 |
| 1285187559 | Morning Starr New Beginnings | Assisted Living Facility | 9016 Tampas Ln, Dallas, TX 75227-5216 | 2016-08-03 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1649644972 | C.e.yates Enterprises LLC | Assisted Living Facility | 7822 Red Spring Rd, Dallas, TX 75241-5353 | 2015-11-24 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.