LIFESPAN RESOURCES OF TEXAS, INC. (NPI# 1588997712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588997712 |
| Entity Type | Organization |
| Organization Name | LIFESPAN RESOURCES OF TEXAS, INC. |
| Practice Address |
3918 S Denley Dr Dallas TX 75216-5617 |
| Practice Telephone | 6824339750 |
| Mailing Telephone | 6824339750 |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |
| Authorized Official Name | MR. TIEZO DEVOTNAE ADKISON (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6824339750 |
| Authorized Official Credential | LVN, RAC-CT, CNA |
| 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 | Residential Treatment Facilities |
| Street Address |
3918 S DENLEY DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-5617 |
| 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 | 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 |
|---|---|---|---|---|
| 1467932178 | Hands of God Home & Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10729 Audelia Rd Ste 112, Dallas, TX 75238-1057 | 2018-08-21 |
| 1144768581 | Ms. Betty's Place, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 816 Green Cove Ln, Dallas, TX 75232-1638 | 2017-02-06 |
| 1003213331 | Nina Mason | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1330 Fordham Rd, Dallas, TX 75216-6219 | 2014-12-02 |
| 1720404338 | Sally Githaiga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11734 Ferguson Rd, Dallas, TX 75228-8202 | 2014-03-07 |
| 1376895029 | Loving Angels Home Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7272 Marvin D Love Fwy Apt 2411, Apt, Dallas, TX 75237-3169 | 2012-10-04 |
| 1821233404 | Promise Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5216 Ashbrook Rd, Dallas, TX 75227-1435 | 2008-12-10 |
| 1114123015 | Professional Care Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6327 Teague Dr, Dallas, TX 75241-4844 | 2007-06-26 |
| 1598969917 | Community Homes for Adults, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5959 Royal Ln, Suite 214, Dallas, TX 75230-3856 | 2007-06-11 |
| 1154539039 | Jenny's Resident Group Care #3 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 808 W Red Bird Ln, Dallas, TX 75232-3120 | 2007-05-21 |
| 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 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on LIFESPAN RESOURCES OF TEXAS, INC..
| 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.