1 TLC:TRANSFORMATIVE LIFE CENTER (NPI# 1164896122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164896122 |
| Entity Type | Organization |
| Organization Name | 1 TLC:TRANSFORMATIVE LIFE CENTER |
| Practice Address |
1229 E Pleasant Run Rd Desoto TX 75115-4209 |
| Mailing Address |
1229 E Pleasant Run Rd Ste 124 Desoto TX 75115-4211 |
| Practice Telephone | 4697743053 |
| Mailing Telephone | 4697743053 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |
| Authorized Official Name | DEMETRA DONALDSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4697743053 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | TX | Agencies |
| Street Address |
1229 E PLEASANT RUN RD |
| City | DESOTO |
| State | TX |
| Zip Code | 75115-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588740633 | True Venture 2000 | Home Health | 1229 E Pleasant Run Rd, Suite 129, Desoto, TX 75115-4209 | 2006-10-31 |
| 1043846397 | Adrian Mills | Advanced Practice Midwife | 1229 E Pleasant Run Rd, Ste 127, Desoto, TX 75115-4211 | 2020-03-19 |
| 1043606817 | Z D Brothers Investment Inc | Durable Medical Equipment & Medical Supplies | 1229 E Pleasant Run Rd, Suite 305, Desoto, TX 75115-4209 | 2015-04-08 |
| 1568899607 | Fcn of Texas, Inc. | Intermediate Care Facility, Mental Illness | 1229 E Pleasant Run Rd, Suite 124, Desoto, TX 75115-4209 | 2013-10-03 |
| 1750576849 | Dcp Healthcare Solutions Inc | Home Health | 1229 E Pleasant Run Rd, Suite 122, Desoto, TX 75115-4209 | 2007-09-11 |
| 1164548707 | David Wayne Sutton | Counselor | 1229 E Pleasant Run Rd, Ste 131, Desoto, TX 75115-4211 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1407453384 | Heather Mcdowell | Massage Therapist | 100 Bob White St # 3, Desoto, TX 75115 | 2020-10-05 |
| 1295201580 | Daniel Max & Marcandrea, LLC | Optometrist | 1309 E. Pleasant Run Rd, Desoto, TX 75115 | 2018-10-15 |
| 1316432180 | Texas Home Health Group of De Soto, LLC | Home Health | 911 York Drive, Suite 203, De Soto, TX 75115 | 2018-06-25 |
| 1033606694 | Dental Health Associates of Texas, PC | Dentist | 1001 N Beckley, Desoto, TX 75115 | 2018-04-19 |
| 1023516093 | Joseph Chinaecherem Anya | Pharmacist | 805 Raintree Ln, Desoto, TX 75115 | 2018-01-25 |
| 1396253837 | Medical Care Innovation, P.C. | Clinic/Center | 2019 N Interstate 35 E, Desoto, TX 75115 | 2018-01-18 |
| 1124534888 | Herlonda Dotson | Counselor | 620 Candelila Drive, Desoto, TX 75115 | 2017-12-18 |
| 1053839548 | Floristene Johnson | Nutritionist | 1353 Armstrong Drive, Desoto, TX 75115 | 2017-09-05 |
| 1699290577 | Dlb Pharmacy LLC | Pharmacy | 1801 N Hampton, Suite 340, Desoto, TX 75115 | 2017-08-11 |
| Find all providers in zip 75115 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267955 | Vanessa Horn | Foster Care Agency | 851 Woodridge Cir, Desoto, TX 75115-7568 | 2020-02-20 |
| 1386136612 | Advantage Star | Foster Care Agency | 1801 N Hampton Rd Ste 418, Desoto, TX 75115-2422 | 2018-06-01 |
| 1265866719 | Faithworks | Foster Care Agency | 1801 N Hampton Rd, Suite 400, Desoto, TX 75115-2391 | 2013-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553258 | Ruth Guillen | Foster Care Agency | 2032 N 77 Sunshinestrip, Harlingen, TX 78550-4127 | 2020-09-16 |
| 1255951562 | Toni Lee Leday | Foster Care Agency | 3210 Clipper Winds Way, Houston, TX 77084-7618 | 2020-04-16 |
| 1528697794 | Melba Foster Care | Foster Care Agency | 21934 Grand Brook Ln, Richmond, TX 77469-6362 | 2020-04-08 |
| 1215597422 | Samuel E. Aghaziem | Foster Care Agency | 228 The Falls Dr, Sunnyvale, TX 75182-6204 | 2019-06-19 |
| 1285199752 | Starry | Foster Care Agency | 1300 N Mays St, Round Rock, TX 78664-4207 | 2019-02-08 |
| 1003391947 | Bertha Alicia Carvallo | Foster Care Agency | 2725 Fillmore, El Paso, TX 79930 | 2018-09-26 |
| 1861987141 | Madre Teresa Adult Foster Home | Foster Care Agency | 2909 Lake Spier Dr, El Paso, TX 79936-3319 | 2018-06-28 |
| 1730670589 | Monica Graves | Foster Care Agency | 1029 Aries St, Cedar Hill, TX 75104-3263 | 2018-05-27 |
| 1417453788 | Caring Heart Residential Care Services | Foster Care Agency | 9343 Mineral Rock Ln, Richmond, TX 77407-2073 | 2018-04-04 |
| 1811493570 | Alexandro Garcia | Foster Care Agency | 7709 Veracruz Ave, El Paso, TX 79915-2141 | 2018-04-02 |
| Find all providers with the same taxonomy | ||||
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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.