AFFECTIONATE RESIDENTIAL CARE LLC (NPI# 1992306500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992306500 |
| Entity Type | Organization |
| Organization Name | AFFECTIONATE RESIDENTIAL CARE LLC |
| Practice Address |
1718 Hollow Creek Ct Garland TX 75040-5517 |
| Practice Telephone | 4698631004 |
| Mailing Telephone | 4698631004 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | AGATHA DWOMOH (PROGRAM MANAGER) |
| Authorized Official Telephone | 4698631004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Affectionate Residential Care LLC | Doing Business As Name - Organization |
| Street Address |
1718 HOLLOW CREEK CT |
| City | GARLAND |
| State | TX |
| Zip Code | 75040-5517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471337 | Yaw Dwomoh | Licensed Vocational Nurse | 1718 Hollow Creek Ct, Garland, TX 75040-5517 | 2020-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467938407 | Craig R Baginski, Dds Inc | Dentist | 4433 Naaman Forest Blvd, Garland, TX 75040 | 2018-07-12 |
| 1356838981 | Firewheel Pediatric Dental Specialists Pllc | Dentist | 4880 N President George Bush Hwy Ste 104, Garland, TX 75040 | 2018-04-19 |
| 1801312947 | Etsub Negussie Haileselassie | Radiology | 1702 Arbor Creek Dr., Garland, TX 75040 | 2017-08-21 |
| 1073038089 | Ashakrishna Nair | Nurse Practitioner | 5702 Lavon Drive, Cvs, Garland, TX 75040 | 2017-08-10 |
| 1336672856 | Rosialyllc Dba Garland Adult Care Center | Clinic/Center | 3845 N. Garland Ave, 700b, Garland, TX 75040 | 2017-04-11 |
| 1699211276 | Yishak Yemane Abebu | Non-emergency Medical Transport (VAN) | 1502 Townbluff St., Garland, TX 75040 | 2017-01-06 |
| 1124478375 | Nisha Liz John P.l.l.c | Dentist | 3046 Lavon Drive, Suite 125,127, Garland, TX 75040 | 2016-06-20 |
| 1265893275 | A1 Hospice Care LLC | Hospice Care, Community Based | 317 Still Meadow Drive, Garland, TX 75040 | 2016-03-18 |
| 1922474345 | Wai Mei Lee | Dentist | 1309 Belt Line Rd, Unit A, Garland, TX 75040 | 2015-08-19 |
| 1972990901 | Turnpike Vision, PC | Optometrist | 485 Cedar Sage Space J13, Garland, TX 75040 | 2015-04-16 |
| Find all providers in zip 75040 | ||||
| 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 |
|---|---|---|---|---|
| 1578079679 | A Passionate Care | Custodial Care Facility | 3214 Russwood Ln, Garland, TX 75044-5818 | 2017-12-27 |
| 1588009823 | Aaa Health Care LLC | Custodial Care Facility | 3306 W Walnut St Ste 200, Garland, TX 75042-7100 | 2013-04-30 |
| 1346516788 | Freyan Health Services,llc | Custodial Care Facility | 1606 Shadow Brook Trl, Garland, TX 75043-1785 | 2012-03-29 |
| 1932305174 | Eagle Management Solutions | Custodial Care Facility | 202 Bellmeade Dr, Garland, TX 75040-3503 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538483 | Alejandra Melendez | Custodial Care Facility | 160 Santa Paula Dr, El Paso, TX 79927-1466 | 2020-11-04 |
| 1962001750 | Geov Divine Healthcare Services Inc. | Custodial Care Facility | 230 Darby Trails Dr, Sugar Land, TX 77479-5243 | 2020-10-22 |
| 1306444799 | St Leo Healthcare Services Inc | Custodial Care Facility | 4338 Berry Bend Ln, Richmond, TX 77406-7224 | 2020-10-16 |
| 1609473065 | Business Minds of Houston, LLC | Custodial Care Facility | 6102 Stonebury Ct, Sugar Land, TX 77479-5487 | 2020-10-07 |
| 1831704311 | Holistic Group LLC | Custodial Care Facility | 510 Cassia Way, Arlington, TX 76002-4520 | 2020-09-11 |
| 1619581170 | Unconditional Love Adult Family Homes | Custodial Care Facility | 3906 Waterproof, Killeen, TX 76549-4404 | 2020-09-02 |
| 1871105924 | Beezway Inc | Custodial Care Facility | 6100 Verandas Cir Apt 837, Fort Worth, TX 76132-4166 | 2020-08-20 |
| 1972112266 | Texas Pro Homecare Inc. | Custodial Care Facility | 2706 Seabiscuit Road, Celina, TX 75009 | 2020-07-23 |
| 1598374787 | Anapa Healthcare Services LLC | Custodial Care Facility | 22430 Rustic Meadow Ct, Katy, TX 77494-8247 | 2020-07-23 |
| 1336766336 | Living Faith Community Home, Inc. | Custodial Care Facility | 10735 Braes Forest Dr, Houston, TX 77071-1501 | 2020-06-25 |
| 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.