PACIFICA HARBORVIEW-KESSLER LLC (NPI# 1245839067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245839067 |
| Entity Type | Organization |
| Organization Name | PACIFICA HARBORVIEW-KESSLER LLC |
| Practice Address |
2522 Fort Worth Ave Dallas TX 75211-1703 |
| Practice Telephone | 2149432522 |
| Mailing Telephone | 2149432522 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | DEEPAK ISRANI (OWNER) |
| Authorized Official Telephone | 6192969000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Meridian At Kessler Park | Doing Business As Name - Organization |
| Street Address |
2522 FORT WORTH AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75211-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275923724 | Kristin Sherman | Physical Therapy Assistant | 2522 Fort Worth Ave, Dallas, TX 75211-1703 | 2015-02-04 |
| 1881231678 | Shanna Hipp | Physical Therapy Assistant | 2522 Fort Worth Ave, Dallas, TX 75211-1703 | 2019-11-29 |
| 1215420179 | Hira Dar | Speech-Language Pathologist | 2522 Fort Worth Ave, Dallas, TX 75211-1703 | 2018-06-14 |
| 1396250601 | Blair Freshwater | Speech-Language Pathologist | 2522 Fort Worth Ave, Dallas, TX 75211-1703 | 2017-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883863 | Cre8tive Pediatric Dental Group | Dentist | 2201 Fort Worth Avenue, Dallas, TX 75211 | 2020-02-13 |
| 1104317601 | May Amria | Dentist | 3434 W Illinois Ave Ste 307, Dallas, TX 75211 | 2018-05-21 |
| 1235547787 | Los Barrios Unidos Community Clinic, Inc | Clinic/Center | 4732 W. Illinois, Dallas, TX 75211 | 2014-07-29 |
| 1568733616 | Amit Sethi | Dentist | 4475 Adler Dr Ste 103, Dallas, TX 75211 | 2012-01-21 |
| 1265764914 | Thomas Lee Schiller | Dentist | 1441 N. Cockrell Hill Rd.., Dallas, TX 75211 | 2010-02-05 |
| 1407030570 | Sylvia Dupuy | Speech-Language Pathologist | 1353 N. Westmoreland Rd., Bldg F, Dallas, TX 75211 | 2007-12-24 |
| 1801088802 | Smile Care Orthodontics | Dentist | 4390 I-30, Ste 200, Dallas, TX 75211 | 2007-08-14 |
| 1104047364 | Ronald Leon Thomas | Pharmacist | 1350 N. Westmoreland, Pharmacy Service, Dallas, TX 75211 | 2007-05-02 |
| 1578785515 | Rabiu E Omolaja | Case Manager/Care Coordinator | 1353 N. Westmoreland Road #2, Dallas, TX 75211 | 2007-05-02 |
| 1982828687 | Yokitha Kenyetta Hamp | Counselor | 1253 Westmoreland, Dallas, TX 75211 | 2007-04-12 |
| Find all providers in zip 75211 | ||||
| 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.