BRIGHT EYES ASSISTED LIVING (NPI# 1760728885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760728885 |
| Entity Type | Organization |
| Organization Name | BRIGHT EYES ASSISTED LIVING |
| Practice Address |
6327 Teague Dr Dallas TX 75241-4844 |
| Mailing Address |
920 Gross Rd Apt 1024 Mesquite TX 75149-8107 |
| Practice Telephone | 2143723690 |
| Mailing Telephone | 2147100156 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |
| Authorized Official Name | MS. DEANDRA DENISE WILSON (OWNER) |
| Authorized Official Telephone | 2147100156 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 135796 | TX | Residential Treatment Facilities |
| Street Address |
6327 TEAGUE DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75241-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114123015 | Professional Care Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6327 Teague Dr, Dallas, TX 75241-4844 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649888777 | Sonya Williams | Licensed Practical Nurse | 3481 Pinebrock Dr, Dallas, TX 75241 | 2020-07-15 |
| 1346700259 | Angel Vales | Counselor | 5520 Langdon Rd, Dallas, TX 75241 | 2019-03-25 |
| 1144708611 | Brandie L Mccray | Counselor | 155 Idlewheat Ln, Dallas, TX 75241 | 2018-08-06 |
| 1649792144 | Jessica Franco Skinner | Social Worker | 5520 Langdon Rd., Suite B, C/o Wilmer Hutchins Youth and Family Center, Dallas, TX 75241 | 2017-07-17 |
| 1659790756 | Michele S Gomez | Technician | 3984 Texas College Drive, Dallas, TX 75241 | 2014-04-16 |
| 1013223494 | Jennifer Peterson | Assisted Living Facility | 4160 Clark College Dr., Dallas, TX 75241 | 2010-08-24 |
| 1447561394 | Tricia Davis | Social Worker | 1568 Sax Leigh Dr, Dallas, TX 75241 | 2010-06-25 |
| 1871804989 | Sonya Williams | Case Management | 3481pinebrook Dr, Dallas, TX 75241 | 2010-06-24 |
| 1144468414 | Edwin Ng | Dentist | 1500 E Langdon Rd, Dallas, TX 75241 | 2009-01-26 |
| 1578709135 | Lynita Teresa Fisher | Registered Nurse | 1244 Serenade Lane, Dallas, TX 75241 | 2008-12-31 |
| Find all providers in zip 75241 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical 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 |
|---|---|---|---|---|
| 1376192823 | Jackie D Henderson | Residential Treatment Facility, Physical Disabilities | 7041 Hedgebrook Dr, Dallas, TX 75249 | 2019-09-07 |
| 1316222110 | Paradise Peace of Mind Home Health Care Services, LLC | Residential Treatment Facility, Physical Disabilities | 10222 Chimney Hill Ln, Dallas, TX 75243-2311 | 2011-10-13 |
| 1396992731 | Good Samaritan Assited Living | Residential Treatment Facility, Physical Disabilities | 1435 Glen Ave, Dallas, TX 75216-1722 | 2008-08-27 |
| 1376717876 | Fortress Home Healthcare Agency | Residential Treatment Facility, Physical Disabilities | 7502 Greenville Ave Ste 500, Dallas, TX 75231-3812 | 2008-04-15 |
| 1609045558 | Five Star Quarters Inc. | Residential Treatment Facility, Physical Disabilities | 4023 Mehalia Dr, Dallas, TX 75241-5253 | 2008-02-25 |
| 1518168483 | Kenwell Home | Residential Treatment Facility, Physical Disabilities | 6614 Kenwell St, Dallas, TX 75209-5344 | 2007-05-30 |
| 1598889784 | Ora Turner | Residential Treatment Facility, Physical Disabilities | 5822 Lake Placid Dr, Dallas, TX 75232-2342 | 2007-03-16 |
| 1720473739 | U-neek I.d. Inc | Residential Treatment Facility, Physical Disabilities | 917 Fordham Rd, Dallas, TX 75216-6133 | 2015-04-06 |
| 1801295019 | Doctors On Wheels Pllc | Residential Treatment Facility, Physical Disabilities | 1513 Viceroy Dr, Suite 135, Dallas, TX 75235-2303 | 2014-08-14 |
| 1053511139 | Yan Ping Chang | Residential Treatment Facility, Physical Disabilities | 8502 Edgemere Rd, Dallas, TX 75225-3523 | 2007-07-18 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on BRIGHT EYES ASSISTED LIVING.
| 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.