MS. ODILE C BLEDSOE (NPI# 1841428596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841428596 |
| Entity Type | Individual |
| Full Name | MS. ODILE C BLEDSOE |
| Practice Address |
1915 Heather Glen Dr Dallas TX 75232-2313 |
| Practice Telephone | 2146775221 |
| Practice Fax Number | 2143306194 |
| Mailing Telephone | 2146775221 |
| Mailing Fax Number | 2143306194 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2013-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1915 HEATHER GLEN DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75232-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518327766 | Infinity Hcs Group Home Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Heather Glen Dr, Dallas, TX 75232-2313 | 2016-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705348 | Kimberly Mitchell | Technician | 5645 Elm Valley Ln, Dallas, TX 75232 | 2019-11-27 |
| 1457900607 | Jewelene Colbert | Technician | 1630 Oak Glen Trl., Dallas, TX 75232 | 2019-09-10 |
| 1700330032 | Ahad G Sheikh | Dentist | 4767 Vista Woods Blvd, Dallas, TX 75232 | 2016-08-03 |
| 1962881748 | Legacy Dental of Glen Oaks | Dentist | 4767 Vista Wood Blvd, Ste 110, Dallas, TX 75232 | 2015-05-26 |
| 1003234147 | Crystal Smith | Homeopath | 6923 Coleshire Dr, Dallas, TX 75232 | 2014-04-05 |
| 1356782098 | Sonja Lynette Shipp | Counselor | 5787 South Hampton Road, Suite 230-k, Dallas, TX 75232 | 2013-07-10 |
| 1073856233 | Heart To Heart Hospice of Dallas, LLC | Hospice Care, Community Based | 5787 S Hampton Rd Ste 430, Dallas, TX 75232 | 2013-04-05 |
| 1700131976 | Vivian Kay Thompson | Counselor | 5034 Haywood Pkwy, Dallas, TX - TEXAS 75232 | 2012-07-13 |
| 1821379819 | Cts - Cotton Traveling Service | Bus | 539 Meadow Health Lane, Dallas, TX 75232 | 2011-09-02 |
| 1467696781 | Faith Residential House Inc #1 | Exclusive Provider Organization | 6840 Brierfield Cir, Dallas, TX 75232 | 2009-04-30 |
| Find all providers in zip 75232 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770107831 | American Roses Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6330 S Lancaster Rd, Dallas, TX 75241-3800 | 2020-06-04 |
| 1841839727 | Bellview Advocacy Project LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14606 Dallas Pkwy Apt 1111, Dallas, TX 75254-7451 | 2019-12-25 |
| 1740832021 | Brittany Dory | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8004 W Virginia Dr Apt 908, Dallas, TX 75237-4425 | 2019-07-16 |
| 1235621368 | Infinite Hope Hcs, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4650 S Hampton Rd Ste 11, Dallas, TX 75232-1066 | 2018-06-04 |
| 1295246916 | Camilla Medina | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1315 Amos St, Dallas, TX 75212-5202 | 2017-10-20 |
| 1619351665 | Kimberly Hutchings | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9670 Forest Ln Apt 1109, Dallas, TX 75243-8639 | 2015-07-18 |
| 1346620259 | Sherry Clark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7030 Capella Park Ave, Dallas, TX 75236-3003 | 2015-06-05 |
| 1710377726 | U-niq Identity | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 917 Fordham Rd, Dallas, TX 75216-6133 | 2015-01-28 |
| 1356747554 | A Su Lado Co. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Main St Apt 202, Dallas, TX 75202-4300 | 2014-11-15 |
| 1477957405 | Amethyst Residential Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5863 Foxglove Ln, Dallas, TX 75249-1625 | 2014-10-20 |
| 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.