ELITE 360 HEALTH AND WELLNESS (NPI# 1376016410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376016410 |
Entity Type | Organization |
Organization Name | ELITE 360 HEALTH AND WELLNESS |
Practice Address |
1409 S Lamar Ste. 245 Dallas TX 75215-6818 |
Practice Telephone | 2145878655 |
Practice Fax Number | 2142429696 |
Mailing Telephone | 2145878655 |
Mailing Fax Number | 2142429696 |
Enumeration Date | 2019-01-10 |
Last Update Date | 2019-01-10 |
Authorized Official Name | DANIELL NICOLE LUCAS (OWNER) |
Authorized Official Telephone | 2145878655 |
Authorized Official Credential | MT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
Street Address |
1409 S LAMAR STE. 245 |
City | DALLAS |
State | TX |
Zip Code | 75215-6818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184245201 | Ursula Liliana Barrreto | Behavior Technician | 1999 Scott St, Suite 900, Dallas, TX 75215 | 2020-04-29 |
1811546278 | Nereca Carol Jones | Technician | 5011 Colonial Avenue, Dallas, TX 75215 | 2019-09-09 |
1356826838 | Sa Foundation for Humanity Inc | Dentist | 1100 S. Arkard Street, Suite 180, Dallas, TX 75215 | 2018-10-01 |
1043710049 | Lawanda Shed | Registered Nurse | 2622 Hatcher St, Dallas, TX 75215 | 2018-02-15 |
1598205973 | Royond Patrick-hendrix | Psychologist | 1409 S Lamar St Apt 307, Dallas, TX 75215 | 2017-03-03 |
1760830566 | Medchiro Injury Rehab LLC | Chiropractor | 1619 Martin Luther King Jr Blvd, Dallas, TX 75215 | 2016-06-02 |
1245580315 | Irfan Jadavji | Family Medicine | 2922-b Martin Luther King, Jr. Blvd, Dallas, TX 75215 | 2012-09-14 |
1982904165 | Malcolm X Pediatric Clinic | Clinic/Center | 4432 Malcolm X Blvd., Dallas, TX 75215 | 2010-10-22 |
1750693669 | Lyric Dion Day | Registered Nurse | 2922 Martin Luther King Jr Blvd #124, Dallas, TX 75215 | 2010-07-08 |
1477759272 | Shang's Garden, Inc | Assisted Living Facility | 2617 Birmingham, Dallas, TX 75215 | 2007-06-27 |
Find all providers in zip 75215 |
Taxonomy Code | 261QR0401X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609293380 | Dallas Testing, Inc. | Clinic/Center | 14110 Dallas Pkwy, Suite 100, Dallas, TX 75254-4326 | 2014-03-19 |
1508972738 | Healthprime Rehabilitation & Paincare Specialist, Inc. | Clinic/Center | 3198 Royal Ln, Suite 107, Dallas, TX 75229-3777 | 2006-08-21 |
1871607671 | Productive Rehabilitation Institute of Dallas for Ergonomics | Clinic/Center | 5701 Maple Ave Ste 100, Dallas, TX 75235-6596 | 2006-08-18 |
1245248889 | Dallas Spinal Rehabilitation Center, Inc. | Clinic/Center | 6161 Harry Hines Blvd, Suite 105, Dallas, TX 75235-5387 | 2006-08-03 |
1275536526 | Advanced Neurological Services of Dallas | Clinic/Center | 13619 Inwood Rd, Ste 325, Dallas, TX 75244-4643 | 2005-05-31 |
1467879171 | Elite Primary Care | Clinic/Center | 14110 Dallas Pkwy, Suite 100, Dallas, TX 75254-4326 | 2014-03-20 |
1518060060 | Wellness Care Centers, LLC | Clinic/Center | 11882 Greenville Ave, Suite B125, Dallas, TX 75243-0586 | 2006-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447807615 | Rise Up Rehab, LLC | Clinic/Center | 1687 Old Hwy 90, Castroville, TX 78009 | 2019-08-22 |
1346897709 | Rise Up Rehab, LLC | Clinic/Center | 10410 Parrigin Rd, Helotes, TX 78023-4283 | 2019-08-21 |
1902333792 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 21004 Interstate 45 N, Spring, TX 77373-2917 | 2017-05-11 |
1023544418 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 5095 Preston Ave, Pasadena, TX 77505-2053 | 2017-05-04 |
1871029264 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 4818 E Sam Houston Pkwy N, Houston, TX 77015-3240 | 2017-05-04 |
1356793509 | Individual | Clinic/Center | 3500 Timberwood Cir Apt 2137, Arlington, TX 76015-3129 | 2016-07-11 |
1801242839 | Transitional Learning Center At Galveston | Clinic/Center | 4416 10th St, Lubbock, TX 79416-4800 | 2016-05-09 |
1225401805 | Milestones | Clinic/Center | 2704 S 26th St, Mcallen, TX 78503-7812 | 2015-11-04 |
1326421173 | Costa Therapy Institute, LLC | Clinic/Center | 1058 Palm Blvd, Brownsville, TX 78520-6168 | 2015-06-29 |
1790165009 | Genesis Prostep LLC | Clinic/Center | 450 E Loop 281 Ste B1, Longview, TX 75605-7969 | 2015-06-02 |
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.