LORSAM RESIDENTIAL HOMES INC (NPI# 1205145893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205145893 |
| Entity Type | Organization |
| Organization Name | LORSAM RESIDENTIAL HOMES INC |
| Practice Address |
8108 Modesto Dr Arlington TX 76001-8545 |
| Practice Telephone | 9132079255 |
| Mailing Telephone | 9132079255 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-10-02 |
| Authorized Official Name | TANGYI FOCHO FOGWE (PRESIDENT) |
| Authorized Official Telephone | 9132079255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| Street Address |
8108 MODESTO DR |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76001-8545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700105426 | Providence Home | Intermediate Care Facility, Mentally Retarded | 8108 Modesto Dr, Arlington, TX 76001-8545 | 2010-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958229 | Patients Choice, LLC | Durable Medical Equipment & Medical Supplies | 719 W. Harris St., Suite B10, Arlington, TX 76001 | 2020-06-25 |
| 1396248688 | Holly Daniels | Health Educator | 7120 S. Cooper St., Arlington, TX 76001 | 2018-03-13 |
| 1629577036 | Samuel Kromer | Health Educator | 7120 S. Cooper Street, Arlington, TX 76001 | 2018-02-12 |
| 1578089678 | Lone Star Assist LLC | Specialist/Technologist, Other | 7802 Fox Chase Dr., Arlington, TX 76001 | 2017-08-21 |
| 1427595263 | Tayo Osiyemi | Behavior Technician | 6408 Rock Springs, Arlington, TX 76001 | 2017-01-31 |
| 1922555911 | Arlington-mansfield Area Young Men's Christian Association | Health Educator | 7201 S Cooper St, Arlington, TX 76001 | 2016-09-07 |
| 1356732267 | Jayce Rodriguez | Physician Assistant | 8015 S. Cooper Street, Arlington, TX 76001 | 2015-02-13 |
| 1194069849 | Kathryn Elise Johnson | Counselor | 7100 S Cooper St Ste 9, Arlington, TX 76001 | 2012-11-19 |
| 1831473305 | Jae Brimhall | Dentist | 6501 S Cooper St Ste 129, Arlington, TX 76001 | 2011-10-03 |
| 1114226990 | Resource Hcs & Txhml | Community/Behavioral Health | 7901 Modesto Dr, Arlington, TX 76001 | 2011-03-20 |
| Find all providers in zip 76001 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013236108 | Halmark Elder Care LLC | Assisted Living Facility | 3405 Woodside Dr, Arlington, TX 76016-2364 | 2010-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275473 | Aedel Global Health Services LLC | Assisted Living Facility | 2824 Pino, Grand Prairie, TX 75054-0108 | 2020-08-13 |
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1487204939 | Steven Ryans | Assisted Living Facility | 12547 Chalmette St, Houston, TX 77015-3335 | 2019-09-17 |
| 1598314619 | Eldorado West Senior Living | Assisted Living Facility | 3051 W Eldorado Pkwy, Little Elm, TX 75068-3537 | 2019-09-11 |
| 1215598800 | Sonnet Sherice Smith | Assisted Living Facility | 4926 Teton St, Houston, TX 77033-3531 | 2019-06-25 |
| 1700343902 | Tutu Family Services | Assisted Living Facility | 6508 Jensen Dr, Houston, TX 77026-1123 | 2019-02-23 |
| 1740756865 | Olufemi Olajide Aridegbe | Assisted Living Facility | 4509 Marlboro Dr, Abilene, TX 79606-5472 | 2018-10-16 |
| 1316412620 | Olajumoke Olayinka Aridegbe I | Assisted Living Facility | 2016 S Clack St Apt 245, Abilene, TX 79606-1449 | 2018-10-12 |
| 1447732896 | Alexis Etienne Ingleton | Assisted Living Facility | 15840 Badger Creek Lm, Fort Worth, TX 76177 | 2018-09-02 |
| 1447740170 | Comfort Care Services Inc. | Assisted Living Facility | 15006 Brookwood Bridge Lane, Sugar Land, TX 77498 | 2018-05-17 |
| 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.