SECURE HAVEN ADULT DAY CARE, INC. (NPI# 1831287994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831287994 |
| Entity Type | Organization |
| Organization Name | SECURE HAVEN ADULT DAY CARE, INC. |
| Practice Address |
2837 W Illinois Ave Dallas TX 75233-1005 |
| Practice Telephone | 2143394920 |
| Practice Fax Number | 2143393603 |
| Mailing Telephone | 2143394920 |
| Mailing Fax Number | 2143393603 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ARRIS DON WHEATON SR. (CEO/DIRECTOR) |
| Authorized Official Telephone | 2143394320 |
| Authorized Official Credential | DM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
117015 | TX | Nursing & Custodial Care Facilities |
| Street Address |
2837 W ILLINOIS AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75233-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306039003 | Sirra Health Services Inc. | Home Health | 2837 W Illinois Ave, Dallas, TX 75233-1005 | 2007-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902344245 | Todae Charles | Case Manager/Care Coordinator | 2932 Gladiolus Lane, Dallas, TX 75233 | 2017-02-07 |
| 1609122555 | Joshua Earl Pulis | Social Worker | 3318 S.franklin St., Dallas, TX 75233 | 2012-07-30 |
| 1023148723 | Golden Rule Schools Inc | Local Education Agency (LEA) | 2602 W Illinois Ave, Dallas, TX 75233-1002 | 2007-03-06 |
| 1457480790 | Heena Nitin Kanase | Pediatrics | 2736 W Illinois Ave, Dallas, TX 75233-1004 | 2007-03-04 |
| 1699913137 | Roxanne Laine Gelbar | Physician Assistant | 2736 W Illinois Ave, Dallas, TX 75233-1004 | 2009-01-21 |
| 1811166903 | Oak Cliff Children's Clinic, P.a. | Pediatrics | 2736 W Illinois Ave, Dallas, TX 75233-1004 | 2008-02-22 |
| 1356618227 | Palakritu Enterprise Inc | Pharmacy | 2480 W Illinois Ave, Dallas, TX 75233-1106 | 2011-11-21 |
| 1912198482 | Antonio Ramon Rivera | Dentist | 2428 W Illinois Ave, Dallas, TX 75233-1106 | 2007-08-08 |
| 1013026228 | Ear Nose & Throat Care, Pa | Otolaryngology | 2448 W Illinois Ave, Dallas, TX 75233-1106 | 2006-08-30 |
| 1376036756 | Leticia Castaneda Escobar | Dentist | 2428 W Illinois Ave, Dallas, TX 75233-1106 | 2018-06-11 |
| Find all providers in zip 75233 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995387 | Red Maple Residential Care, LLC | Custodial Care Facility | 7111 Blackwillow Ln, Dallas, TX 75249-1427 | 2019-01-10 |
| 1356716682 | Raquel Long | Custodial Care Facility | 210 W Pembroke Ave, Dallas, TX 75208-6727 | 2015-12-11 |
| 1851711253 | Romelias Caring Hands | Custodial Care Facility | 10415 Channel Dr, Dallas, TX 75229-4920 | 2014-04-24 |
| 1578808432 | Another Chance Youth Ministry | Custodial Care Facility | 1622 S Beckley Ave, Dallas, TX 75224-2004 | 2012-12-04 |
| 1356553838 | Cox Adult Foster Home | Custodial Care Facility | 8717 Blossom Lane, Dallas, TX 75227 | 2007-05-04 |
| 1164646626 | Christian Heights Community Care, Inc | Custodial Care Facility | 4708 Wadsworth Dr, Dallas, TX 75216-7339 | 2007-04-13 |
| 1760538052 | Regina A. Johnson | Custodial Care Facility | 6125 Singing Hills Dr, Dallas, TX 75241-2630 | 2007-01-27 |
| 1508260886 | A Home of Your Own | Custodial Care Facility | 9822 Amberton Pkwy, Dallas, TX 75243-2016 | 2014-10-15 |
| 1578982849 | Sharel Sullivan | Custodial Care Facility | 12248 China Lake Dr, Dallas, TX 75253-3045 | 2014-04-15 |
| 1083929780 | Family Faith Residential Care | Custodial Care Facility | 7104 Cloverglen Dr, Dallas, TX 75249-1433 | 2010-08-18 |
| 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.