DALLAS HOME FOR JEWISH AGED, INC. (NPI# 1699972539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699972539 |
| Entity Type | Organization |
| Organization Name | DALLAS HOME FOR JEWISH AGED, INC. |
| Other Organization Name | THE LEGACY AT PRESTON HOLLOW |
| Practice Address |
11409 N Central Expy Dallas TX 75243-6678 |
| Mailing Address |
6101 Ohio Dr Suite 100 Plano TX 75024-2720 |
| Practice Telephone | 2143635100 |
| Practice Fax Number | 2413635133 |
| Mailing Telephone | 9724686171 |
| Mailing Fax Number | 9724686172 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2013-09-30 |
| Authorized Official Name | MR. BRIAN BARNES (CFO) |
| Authorized Official Telephone | 9724686171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 112773 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001012220 | 05 | |
| TX | PART B CO-INSURANCE | 165795901 | 01 |
| Other Name | Type Code |
|---|---|
| The Legacy at Preston Hollow | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861699787 | Dallas Home for Jewish Aged, Inc. | Assisted Living Facility | 11409 N Central Expy, Dallas, TX 75243-6678 | 2007-07-03 |
| 1316907181 | Dallas Home for Jewish Aged, Inc. | Hospice, Inpatient | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2006-03-25 |
| Street Address |
11409 N CENTRAL EXPY |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-6678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093709727 | Vph Senior Care, Inc. | Assisted Living Facility | 11409 N Central Expy, Dallas, TX 75243-6678 | 2005-09-08 |
| 1235779513 | Sheryl Tucker | Physical Therapist | 11409 N Central Expy, Dallas, TX 75243-6678 | 2020-01-14 |
| 1740841832 | Inkoo Song | Occupational Therapy Assistant | 11409 N Central Expy, Dallas, TX 75243-6678 | 2019-06-28 |
| 1447715610 | Marjorie Wilson | Occupational Therapist | 11409 N Central Expy, Dallas, TX 75243-6678 | 2019-02-01 |
| 1629553086 | Akashkumar Sagar | Physical Therapist | 11409 N Central Expy, Dallas, TX 75243-6678 | 2018-10-01 |
| 1306327838 | Leah Gantz | Speech-Language Pathologist | 11409 N Central Expy, Dallas, TX 75243-6678 | 2018-08-23 |
| 1770073421 | Belkis Lorenzo Gimeno | Registered Nurse | 11409 N Central Expy, Dallas, TX 75243 | 2018-05-17 |
| 1063876118 | Chg Senior Living Preston Hollow, LLC | Skilled Nursing Facility | 11409 N Central Expy, Dallas, TX 75243-6678 | 2016-04-05 |
| 1962771535 | Ginny Lynn Harper | Speech-Language Pathologist | 11409 N Central Expy, Dallas, TX 75243-6678 | 2011-12-27 |
| 1861699787 | Dallas Home for Jewish Aged, Inc. | Assisted Living Facility | 11409 N Central Expy, Dallas, TX 75243-6678 | 2007-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1508325275 | Buckner Senior Living, Inc. | Skilled Nursing Facility | One Ventana Way, 8301 N Central Expressway, Dallas, TX 75225 | 2019-03-13 |
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1740710094 | Adora 9 Operations, LLC | Skilled Nursing Facility | 8130 Meadow Road, Dallas, TX 75231 | 2017-06-19 |
| 1962891523 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 3505 S Buckner Blvd Bldg 5, Dallas, TX 75227-5451 | 2015-01-20 |
| 1346678398 | The Rehabilitation & Wellness Centre of Dallas, LLC | Skilled Nursing Facility | 4200 Live Oak St, Dallas, TX 75204-6733 | 2013-10-29 |
| 1639428972 | Riverwood Healthcare LLC | Skilled Nursing Facility | 9009 Forest Lane, Dallas, TX 75243 | 2012-08-31 |
| 1013265446 | Remarkable Healthcare of Dallas, Lp | Skilled Nursing Facility | 3350 Bonnie View Road, Dallas, TX 75216 | 2012-08-15 |
| 1558620633 | Highland Springs, Inc | Skilled Nursing Facility | 7910 Frankford Rd, Attn: Extended Care Administrator, Dallas, TX 75252-6865 | 2012-05-10 |
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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.