PROFESSIONAL CARE FACILITY (NPI# 1114123015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114123015 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL CARE FACILITY |
| Practice Address |
6327 Teague Dr Dallas TX 75241-4844 |
| Practice Telephone | 2143723690 |
| Practice Fax Number | 9722245589 |
| Mailing Telephone | 2143723690 |
| Mailing Fax Number | 9722245589 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-08-28 |
| Authorized Official Name | MRS. LATONDRA DENISE ASKEW (ADMINISTRATOR) |
| Authorized Official Telephone | 4698778557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 030258 | TX | Residential Treatment Facilities |
| Street Address |
6327 TEAGUE DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75241-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760728885 | Bright Eyes Assisted Living | Residential Treatment Facility, Physical Disabilities | 6327 Teague Dr, Dallas, TX 75241-4844 | 2012-12-18 |
| 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 | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467932178 | Hands of God Home & Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10729 Audelia Rd Ste 112, Dallas, TX 75238-1057 | 2018-08-21 |
| 1144768581 | Ms. Betty's Place, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 816 Green Cove Ln, Dallas, TX 75232-1638 | 2017-02-06 |
| 1003213331 | Nina Mason | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1330 Fordham Rd, Dallas, TX 75216-6219 | 2014-12-02 |
| 1720404338 | Sally Githaiga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11734 Ferguson Rd, Dallas, TX 75228-8202 | 2014-03-07 |
| 1376895029 | Loving Angels Home Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7272 Marvin D Love Fwy Apt 2411, Apt, Dallas, TX 75237-3169 | 2012-10-04 |
| 1588997712 | Lifespan Resources of Texas, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3918 S Denley Dr, Dallas, TX 75216-5617 | 2009-09-04 |
| 1821233404 | Promise Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5216 Ashbrook Rd, Dallas, TX 75227-1435 | 2008-12-10 |
| 1598969917 | Community Homes for Adults, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5959 Royal Ln, Suite 214, Dallas, TX 75230-3856 | 2007-06-11 |
| 1154539039 | Jenny's Resident Group Care #3 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 808 W Red Bird Ln, Dallas, TX 75232-3120 | 2007-05-21 |
| 1023557840 | A Destiny's Rose Hcs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1620 Glen Ave, Dallas, TX 75216 | 2017-02-13 |
| 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.