BLESSED & FAVORED ASSISTED LIVING INC. (NPI# 1477839082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477839082 |
| Entity Type | Organization |
| Organization Name | BLESSED & FAVORED ASSISTED LIVING INC. |
| Practice Address |
1807 Lost Crossing Trl Arlington TX 76002-3637 |
| Mailing Address |
901 Coury Rd Apt#19 Everman TX 76140-4355 |
| Practice Telephone | 8175008496 |
| Mailing Telephone | 8175008496 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |
| Authorized Official Name | BRANDY KUTRACE MOORE (PRESIDENT) |
| Authorized Official Telephone | 8175008496 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | SSN/ITIN/EIN | TX | Residential Treatment Facilities |
| Street Address |
1807 LOST CROSSING TRL |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76002-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144713611 | Adegboyega Omoba | Registered Nurse | 1406 Anglican Drive, Arlington, TX 76002 | 2018-06-11 |
| 1568963767 | Heather Nicole Levine | Speech-Language Pathologist | 600 Soledad, Arlington, TX 76002 | 2018-02-22 |
| 1346751732 | Arch Dental of Debbie Pa | Dentist | 1450 Debbie Lane, Suite #130, Arlington, TX 76002 | 2017-10-12 |
| 1104270628 | Hayley Hendon | Nurse Practitioner | 8200 Matlock Road, Arlington, TX 76002 | 2016-04-21 |
| 1770955239 | M & A Pharmacy LLC | Pharmacy | 8200 Matlock Road, Ste 150, Arlington, TX 76002 | 2015-10-23 |
| 1831441898 | Nupur Merchant | Occupational Therapist | 7100 Matlock Rd., Arlington, TX 76002 | 2012-10-15 |
| 1073813242 | Joma Home Care Inc | Clinic/Center | 7401 Matlock Rd, Suite 7, Arlington, TX 76002 | 2010-10-22 |
| 1467786905 | Olaniyi Samuel Adeoye | Registered Nurse | 8209 San Jose Street, Arlington, TX 76002 | 2009-10-01 |
| 1639319551 | Kirk Henry Bradford | Chiropractor | 1219 E. Debbie Lane, Suite 103, Mansfield, TX 76002 | 2009-03-05 |
| 1366788739 | Darlene Tran Co | Registered Nurse | 1802 Empire Cir, Arlington, TX 76002 | 2012-12-12 |
| Find all providers in zip 76002 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225416746 | A & P Caring Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1520 Darby Dr Apt 217, Arlington, TX 76010-8975 | 2015-05-16 |
| 1720383730 | Hope Group Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4231 S Four Mile Run Dr Apt 21, Arlington, VA 22204-3955 | 2011-01-22 |
| 1568608420 | Keorric Lamont Holiday | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3705 Fort Hunt Drive, Arlington, TX 76016 | 2008-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581782 | Joyful Psalm | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1354 Ravenwood Ct, Crowley, TX 76036-3472 | 2020-09-04 |
| 1790394161 | Modern Vintage Residential Care, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4015 Alexis Tate Cir, Missouri City, TX 77459-5039 | 2020-07-30 |
| 1285253856 | 1 Care Premier Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 340 N Sam Houston Pkwy E Ste A247, Houston, TX 77060-3305 | 2020-04-13 |
| 1568093888 | James Micah Howard | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11911 Lakewood Trl, Tomball, TX 77377-8563 | 2020-01-27 |
| 1518507110 | Gems Residence LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5810 Liverpool St, Aubrey, TX 76227-1909 | 2020-01-10 |
| 1366081812 | Abundant Care Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Maxfield St, Waco, TX 76705-2967 | 2020-01-02 |
| 1306487426 | Fort Healthcare LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5833 Oakbend Trail, #200, Fort Worth, TX 76132-3900 | 2019-09-30 |
| 1144877481 | Boniswa Portia Maduna | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8000 Cook Rd Apt 1109, Houston, TX 77072-3939 | 2019-08-21 |
| 1871148171 | Kenneth Allen | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 135 E Menefee St, Lufkin, TX 75901-4701 | 2019-08-05 |
| 1124673553 | 1st A & M Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 504 Spicewood Dr, Desoto, TX 75115-1485 | 2019-08-02 |
| 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.