KIYA'S HAVEN ASSISTED LIVING HOME (NPI# 1457750358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457750358 |
| Entity Type | Organization |
| Organization Name | KIYA'S HAVEN ASSISTED LIVING HOME |
| Other Organization Name | KIYA'S & KETHAN'S HAVEN ASSISTED LIVING HOME |
| Practice Address |
1611 Windchime Dr Dallas TX 75224-4816 |
| Practice Telephone | 2144674933 |
| Practice Fax Number | 2144674933 |
| Mailing Telephone | 2144674933 |
| Mailing Fax Number | 2144674933 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |
| Authorized Official Name | DEIDRA LYNNETTE WHYETE-BABERS (DIRECTOR) |
| Authorized Official Telephone | 2144674933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 139938 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| KIYA'S & KETHAN'S HAVEN ASSISTED LIVING HOME | Other Name - Individual/Organization |
| Street Address |
1611 WINDCHIME DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75224-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1306119177 | Truevision Eye Care P.a. | Optometrist | 911 Wynnewood Village, Dallas, TX 75224 | 2012-02-09 |
| 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 |
| Find all providers in zip 75224 | ||||
| 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.