INDEPENDENT LIFE ANNEX (NPI# 1831746643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831746643 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT LIFE ANNEX |
| Practice Address |
6610 Greenspring Dr Arlington TX 76016-5134 |
| Mailing Address |
Po Box 155046 Irving TX 75015-5046 |
| Practice Telephone | 4697124452 |
| Mailing Telephone | 4697124452 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | DEDRIC ASHLEY (OWNER) |
| Authorized Official Telephone | 4697124452 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Ilahouse | Doing Business As Name - Organization |
| Street Address |
6610 GREENSPRING DR |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76016-5134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655646 | Kristin Allison Healer | Counselor | 5614 Arbor Valley Drive, Arlington, TX 76016 | 2020-10-01 |
| 1720564040 | Malesco LLC | Durable Medical Equipment & Medical Supplies | 2805 W. Arkansas Ln #300, Arlington, TX 76016 | 2018-07-19 |
| 1174034623 | Stat Trauma & Surgical Services, Pllc | Surgery | 6 Garden Ln, Arlington, TX 76016 | 2017-10-23 |
| 1689197626 | Ortho Pain Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2805 W Arkansas Ln Ste 300, Arlington, TX 76016 | 2017-07-21 |
| 1710382924 | Christopher Matthew Lemoine | Specialist/Technologist | 4501 W. Pleasant Ridge, Martin High School, Arlington, TX 76016 | 2014-10-30 |
| 1073936993 | Dariush Alirezaieyan | Specialist/Technologist, Other | 6601 Johns Crt, Arlington, TX 76016 | 2014-01-29 |
| 1063768380 | Melissa Kathleen Zawisza | Social Worker | 6311 Millwood Ct., Arlington, TX 76016 | 2012-07-24 |
| 1023377421 | Walter Ernest Williamson Jr. | Surgery | 4806 Wooded Acres Drive, Arlington, TX 76016 | 2012-05-07 |
| 1043585615 | Jack Henry Arlington, LLC | Alzheimer Center (Dementia Center) | 2300 Little Rd, Arlington, TX 76016 | 2012-03-15 |
| 1568608420 | Keorric Lamont Holiday | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3705 Fort Hunt Drive, Arlington, TX 76016 | 2008-12-26 |
| Find all providers in zip 76016 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588018071 | Arlington Voa Alr Operating, Inc. | Assisted Living Facility | 2000 5th St S, Arlington, VA 22204-1902 | 2016-04-20 |
| 1205145893 | Lorsam Residential Homes Inc | Assisted Living Facility | 8108 Modesto Dr, Arlington, TX 76001-8545 | 2010-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140014 | Brenda Burford | Assisted Living Facility | 405 E Hondo Ave, Devine, TX 78016-3316 | 2020-09-25 |
| 1639782105 | Fredisolo Annointed Homes | Assisted Living Facility | 1400 Parkwood Trl, Mesquite, TX 75149-7604 | 2020-08-25 |
| 1518514850 | Czp Commercial Projects | Assisted Living Facility | 4414 Park Breeze Dr, Fresno, TX 77545-8605 | 2019-08-21 |
| 1083272603 | The Viera Senior Living | Assisted Living Facility | 3010 Airline Rd, Corpus Christi, TX 78414-3032 | 2019-05-29 |
| 1871082685 | Karla Hudson | Assisted Living Facility | 539 E Delz Dr, Houston, TX 77022-1703 | 2018-05-07 |
| 1427577444 | Thriving Hands Home Care | Assisted Living Facility | 3634 Colony Dr, San Antonio, TX 78230-3210 | 2017-09-11 |
| 1568987055 | Glatrick Annointed Hands of Care LLC | Assisted Living Facility | 14715 Foxbriar Ln, Frisco, TX 75035-1207 | 2017-08-07 |
| 1366991085 | Pinnacle Community Living | Assisted Living Facility | 243 Independence Spring Drive, Sherman, TX 75090-3335 | 2016-09-22 |
| 1447705579 | God Love Assisted Living Homes | Assisted Living Facility | 5623 W Harrow Dr, Houston, TX 77084-1869 | 2016-08-18 |
| 1790140861 | Milestone Personal Care Inc. | Assisted Living Facility | 10602 Chapel Hill Dr, Houston, TX 77099-3905 | 2015-12-16 |
| 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.