DESTINY ROSE RESIDENTIAL CARE FACILITY (NPI# 1386920536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386920536 |
| Entity Type | Organization |
| Organization Name | DESTINY ROSE RESIDENTIAL CARE FACILITY |
| Practice Address |
1620 Glen Ave Dallas TX 75216-1727 |
| Mailing Address |
3214 Russwood Ln Garland TX 75044-5818 |
| Practice Telephone | 2143350627 |
| Practice Fax Number | 2149410308 |
| Mailing Telephone | 2143350627 |
| Mailing Fax Number | 2149410308 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |
| Authorized Official Name | MRS. TONI M MARTIN-MOORE (OWNER/MANAGER) |
| Authorized Official Telephone | 2143350627 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 0000000000000000 | TX | Nursing & Custodial Care Facilities |
| Street Address |
1620 GLEN AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023557840 | A Destiny's Rose Hcs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1620 Glen Ave, Dallas, TX 75216 | 2017-02-13 |
| 1245773993 | Destiny Rose Healthcare Services Inc | Home Health | 1620 Glen Ave, Dallas, TX 75216-1727 | 2016-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| 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.