RAQUEL LONG (NPI# 1356716682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356716682 |
| Entity Type | Individual |
| Full Name | RAQUEL LONG |
| Other Name | RAQUEL BENT |
| Practice Address |
210 W Pembroke Ave Dallas TX 75208-6727 |
| Practice Telephone | 4698448424 |
| Mailing Telephone | 4698448424 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
210 W PEMBROKE AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75208-6727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1316506025 | Molecular Innovations Neo-designs Laboratories, LLC | Clinical Medical Laboratory | 839 W. Commerce, Dallas, TX 75208 | 2019-06-07 |
| 1477023430 | Amber M James Dmd, Pllc | Dentist | 650 Fort Worth Ave, Ste 130, Dallas, TX 75208 | 2018-12-03 |
| 1659841237 | Andrea Pavia-jimenez | Physician Assistant | 817 Jefferson Blvd, Dallas, TX 75208 | 2018-11-27 |
| 1841716859 | Jennifer Atherton | Midwife | 618 S Rosemont Ave, Dallas, TX 75208 | 2017-08-22 |
| 1659815892 | Texas Traumatic Brain Injury Rehab | Counselor | 214 W. Colorado Blvd., Dallas, TX 75208 | 2016-12-07 |
| 1295120111 | Silva Pharmacy, Inc | Pharmacy | 939 W Jefferson Blvd Ste 101, Dallas, TX 75208 | 2015-03-30 |
| 1487052478 | Kassandra Sanchez | Counselor | 210 West 10th Street, Dallas, TX 75208 | 2014-12-08 |
| 1023458650 | O.c Medical Associates Pa | Internal Medicine | 737 N. Bishop Avenue, Ste B, Dallas, TX 75208 | 2013-06-27 |
| 1306105135 | Sts Dental, Pllc | Dentist | 909 S. Tyler St., Dallas, TX 75208 | 2012-05-14 |
| Find all providers in zip 75208 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995387 | Red Maple Residential Care, LLC | Custodial Care Facility | 7111 Blackwillow Ln, Dallas, TX 75249-1427 | 2019-01-10 |
| 1851711253 | Romelias Caring Hands | Custodial Care Facility | 10415 Channel Dr, Dallas, TX 75229-4920 | 2014-04-24 |
| 1578808432 | Another Chance Youth Ministry | Custodial Care Facility | 1622 S Beckley Ave, Dallas, TX 75224-2004 | 2012-12-04 |
| 1356553838 | Cox Adult Foster Home | Custodial Care Facility | 8717 Blossom Lane, Dallas, TX 75227 | 2007-05-04 |
| 1164646626 | Christian Heights Community Care, Inc | Custodial Care Facility | 4708 Wadsworth Dr, Dallas, TX 75216-7339 | 2007-04-13 |
| 1760538052 | Regina A. Johnson | Custodial Care Facility | 6125 Singing Hills Dr, Dallas, TX 75241-2630 | 2007-01-27 |
| 1831287994 | Secure Haven Adult Day Care, Inc. | Custodial Care Facility | 2837 W Illinois Ave, Dallas, TX 75233-1005 | 2006-10-11 |
| 1508260886 | A Home of Your Own | Custodial Care Facility | 9822 Amberton Pkwy, Dallas, TX 75243-2016 | 2014-10-15 |
| 1578982849 | Sharel Sullivan | Custodial Care Facility | 12248 China Lake Dr, Dallas, TX 75253-3045 | 2014-04-15 |
| 1083929780 | Family Faith Residential Care | Custodial Care Facility | 7104 Cloverglen Dr, Dallas, TX 75249-1433 | 2010-08-18 |
| 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.