HOMEWARD BOUND, INC


Address: 315 Sunset Ave, Dallas, TX 75208-4606
Phone: 2149413500

HOMEWARD BOUND, INC (NPI# 1235448218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235448218
Entity Type Organization
Organization Name HOMEWARD BOUND, INC
Practice Address 315 Sunset Ave
Dallas
TX 75208-4606
Mailing Address Po Box 222194
Dallas
TX 75222-2194
Practice Telephone 2149413500
Practice Fax Number 2144420080
Mailing Telephone 2149413500
Mailing Fax Number 2144420080
Enumeration Date 2010-09-24
Last Update Date 2010-09-24
Authorized Official Name DOUGLAS DENTON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2149413500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
501F TX Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations HOMEWARD BOUND, INC. 1846 Purchase St., New Bedford, MA 02740
Colorado Business Entities Homeward Bound, Inc. 3495 N. 109th Street, Lafayette, CO 80026

Office Location

Street Address 315 SUNSET AVE
City DALLAS
State TX
Zip Code 75208-4606

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NPI Name Taxonomy Address Enumeration
1205498524 Uchechi Millicent Okoro Nurse Practitioner 315 Sunset Ave, Dallas, TX 75208-4606 2019-07-08

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Competitor

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City DALLAS
Zip Code 75208

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Dataset Information

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.

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