EASTER SEALS NORTH TEXAS, INC. (NPI# 1396702122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396702122 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS NORTH TEXAS, INC. |
| Practice Address |
4201 Brook Spring Dr Bldg. II Dallas TX 75224-4968 |
| Mailing Address |
1424 Hemphill Street Fort Worth TX 76104-4703 |
| Practice Telephone | 9723948900 |
| Practice Fax Number | 2143723304 |
| Mailing Telephone | 8173327171 |
| Mailing Fax Number | 8176650878 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-08-01 |
| Authorized Official Name | MS. DONNA DEMPSEY (PRESIDENT/CEO) |
| Authorized Official Telephone | 8177597925 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CHSCN | 1528119-02 | 01 |
| TX | 1991986-01 | 05 | |
| TX | 1528119-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174589220 | Easter Seals North Texas, Inc. | Community/Behavioral Health | 4443 N Josey Ln, 100, Carrollton, TX 75010-4605 | 2006-04-25 |
| Street Address |
4201 BROOK SPRING DR BLDG. II |
| City | DALLAS |
| State | TX |
| Zip Code | 75224-4968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942283056 | Jules Greif | Pediatrics | 4201 Brook Spring Dr, Oak West Health Center, Dallas, TX 75224-4938 | 2005-11-22 |
| 1447796222 | Olayinka Suberu | Nurse Practitioner | 4201 Brook Spring Dr, Dallas, TX 75224-4968 | 2017-01-17 |
| 1518323468 | Brianna Acosta | Nurse Practitioner | 4201 Brook Spring Dr, Dallas, TX 75224-4968 | 2016-01-07 |
| 1275856478 | Donna Dempsey | Behavioral Analyst | 4201 Brook Spring Dr, Bldg. B, Dallas, TX 75224-4968 | 2010-03-02 |
| 1568797603 | Rebecca Corona | Psychologist | 4201 Brook Spring Dr, Dallas, TX 75224-4968 | 2009-10-07 |
| 1902036833 | Jacqueline Denise Juarez | Counselor | 4201 Brook Spring Dr, Dallas, TX 75224-4968 | 2009-07-27 |
| 1194967687 | Vonni C Gant | Pediatrics | 4201 Brook Spring Dr, Dallas, TX 75224-4968 | 2009-03-30 |
| 1871741165 | Dallas County Hospital District | Nurse Practitioner | 4201 Brook Spring Dr, Dallas, TX 75224-4968 | 2008-08-29 |
| 1669694469 | Rosie L. Johnson | Nurse Practitioner | 4201 Brook Spring Dr, Oakwest Women's Health Center, Dallas, TX 75224-4938 | 2007-05-02 |
| 1023174984 | Elsie L. Hider | Nurse Practitioner | 4201 Brook Spring Dr, Oakwest Women's Health Center, Dallas, TX 75224-4968 | 2006-12-28 |
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|---|---|---|---|---|
| 1972133999 | Bra'sheika Renee Johnson | Pharmacist | 752 Wynnewood Village S/c, Dallas, TX 75224 | 2020-01-17 |
| 1821523317 | Hao Anh Dang | Dentist | 2221 W Ledbetter Dr Ste 100, Dallas, TX 75224 | 2017-04-22 |
| 1568820009 | Ashley Nicole Green | Dentist | 2221 W. Ledbetter Drive, Suite 100, Dallas, TX 75224 | 2016-01-28 |
| 1194138867 | Laurie Smith | Licensed Vocational Nurse | 3622 S Tyler St, Dallas, TX 75224 | 2014-06-10 |
| 1346667474 | Sherry Diann Flewellen-ervin | Counselor | 501 Wynnwood Village, Dallas, TX 75224 | 2014-03-26 |
| 1326381880 | Mercy Housecall Physicians Group, LLC | Clinic/Center | 501 Wynnrwood Village, Ste 102a, Dallas, TX 75224 | 2013-04-03 |
| 1437416971 | Masako Nishio M.d., P.a. | Anesthesiology | 2929 South Hampton Rd, Dallas, TX 75224 | 2012-04-23 |
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| 1639449358 | Access Dental of Illinois Pa | Dentist | 2304 W Illinois Ave, Dallas, TX 75224 | 2012-01-11 |
| 1659649317 | Shambresha Lanette Sewell | Assisted Living Facility | 3911 Morning Spring Trl, Dallas, TX 75224 | 2011-12-09 |
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| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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| 1518060060 | Wellness Care Centers, LLC | Clinic/Center | 11882 Greenville Ave, Suite B125, Dallas, TX 75243-0586 | 2006-09-07 |
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| 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 |
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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.