ADULT ULTIMATE DAYCARE CENTER, INC. (NPI# 1275662827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275662827 |
| Entity Type | Organization |
| Organization Name | ADULT ULTIMATE DAYCARE CENTER, INC. |
| Other Organization Name | ULTIMATE ADULT DAYCARE CENTER |
| Practice Address |
3650 N Buckner Blvd Suite 110a Dallas TX 75228-5652 |
| Practice Telephone | 2143200080 |
| Practice Fax Number | 2143200087 |
| Mailing Telephone | 2143200080 |
| Mailing Fax Number | 2143200087 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2019-06-24 |
| Authorized Official Name | MRS. SHERRI ABIOLA ABU (OWNER) |
| Authorized Official Telephone | 2143200080 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 373H00000X | Day Training/Habilitation Specialist | 119453 | TX | Nursing Service Related Providers |
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001014913 | 05 |
| Other Name | Type Code |
|---|---|
| ADULT ULTIMATE DAY CARE CENTER INC | Doing Business As Name - Organization |
| Ultimate Adult Daycare Center | Doing Business As Name - Organization |
| Street Address |
3650 N BUCKNER BLVD SUITE 110A |
| City | DALLAS |
| State | TX |
| Zip Code | 75228-5652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1083905053 | R2j Investments LLC | Pharmacy | 6300 Samual Blvd, Ste #118, Dallas, TX 75228 | 2011-04-26 |
| 1376709493 | Rupen Suresh Amin | Family Medicine | 2360 Gus Thomasson Rd, Dallas, TX 75228 | 2008-07-29 |
| 1356512453 | Affirm Healthcare, LLC | Home Health | 10950 Woodmeadow Pkwy, #223, Dallas, TN 75228 | 2008-03-17 |
| 1629280110 | Shining Star Home Health Care Inc | Home Health | 8344 East R L Thronton Fwy, Ste # 203, Dallas, TX 75228 | 2007-05-04 |
| 1922123728 | Federico Maese | Family Medicine | 12601 E. Northwest Hwy, Dallas, TX 75228 | 2007-03-20 |
| 1578602223 | Rob F Smith | Social Worker | 8035 East R L Thornton Freeway, Suite #503, Dallas, TX 75228 | 2007-02-06 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1841376175 | Dana Ray Scott | Dentist | 2335 Gus Thomasson, Dallas, TX 75228 | 2006-10-30 |
| 1255425625 | Optimal Home Health Inc | Home Health | 8344 E R L Thornton Fwy Ste 214, Dallas, TX 75228 | 2006-10-03 |
| Find all providers in zip 75228 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559774 | Jennifer Jenkins | Day Training/Habilitation Specialist | 272 Buttercup Ln, Dallas, TX 75217-7201 | 2019-07-11 |
| 1245700871 | Reginald Deloatch | Day Training/Habilitation Specialist | 4123 Cedar Springs Roafd, Apt. 2332, Dallas, TX 75219 | 2018-11-27 |
| 1619402195 | Keya S. Harris | Day Training/Habilitation Specialist | 3930 Accent Dr Apt 1932, Dallas, TX 75287-7715 | 2017-04-21 |
| 1730480518 | Ruth Fassie Rogers | Day Training/Habilitation Specialist | 9560 Skillman St, Suite 126, Dallas, TX 75243-8256 | 2010-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909616 | Roslyns Senior Lifestyle Center LLC | Day Training/Habilitation Specialist | 21040 Highland Knolls Dr Ste 200-437, Katy, TX 77450-1570 | 2020-10-15 |
| 1548873482 | Ononuju Justin Emeka | Day Training/Habilitation Specialist | 4423 Sierra Point Dr, Fresno, TX 77545-6057 | 2020-08-29 |
| 1417574864 | Jennifer Jeanette Wells | Day Training/Habilitation Specialist | 105 S Chenango St, Angleton, TX 77515-6080 | 2020-07-01 |
| 1831727106 | David Pomerantz | Day Training/Habilitation Specialist | 810 Marston St, Houston, TX 77019-1706 | 2020-03-31 |
| 1407496227 | Kimberly Pipkin Wilder | Day Training/Habilitation Specialist | 5703 South Acres, Houston, TX 77048 | 2020-01-09 |
| 1366089708 | Rebecca Kaye Parker | Day Training/Habilitation Specialist | 105 E Marshall St, Gilmer, TX 75644-2225 | 2019-12-04 |
| 1295397594 | Leticia Q Munoz | Day Training/Habilitation Specialist | 2461 Highway 59 E, 3408 Fm 673, Beeville, TX 78102-7810 | 2019-07-08 |
| 1811480544 | First Baptist Church Sunnyvale | Day Training/Habilitation Specialist | 3018 N Belt Line Rd, Sunnyvale, TX 75182-9346 | 2018-06-07 |
| 1457855355 | Paradise Lane Adult Workshop | Day Training/Habilitation Specialist | 10503 Rockley Rd Ste 100, Houston, TX 77099-3531 | 2018-03-23 |
| 1003317231 | Nikka Jean Miller | Day Training/Habilitation Specialist | 2408 Lynx Ct, Pflugerville, TX 78660-6571 | 2018-02-22 |
| 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.