Active NPI
Evelyn Hanks
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Lake Dallas, TX
National Provider Identifier
1013249622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- EVELYN HANKS
- Practice address
- 503 E Hundley Dr
Lake Dallas, TX 75065-2633 - Phone
- (940) 255-4198
- NPI assigned
- Feb 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Evelyn Hanks
- Title
- Owner
- Phone
- (209) 985-3656
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary | ||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
503 E Hundley Dr
Lake Dallas, TX 75065-2633
Mailing address
2436 S I-35 E
Suite 376 #218
Denton, TX 76205-4992
Phone (940) 255-4198
Other names 1
- TenderLivingCare
National Provider Directory
National Provider DirectoryLocations
2436 S Interstate 35 E
Ste 376
Denton, TX 76205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265414400000",
"number": "1013249622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2436 S I-35 E",
"address_2": "SUITE 376 #218",
"city": "DENTON",
"state": "TX",
"postal_code": "762054992",
"telephone_number": "940-255-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 E HUNDLEY DR",
"city": "LAKE DALLAS",
"state": "TX",
"postal_code": "750652633",
"telephone_number": "940-255-4198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVELYN HANKS",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-06",
"last_updated": "2010-02-06",
"status": "A",
"authorized_official_last_name": "HANKS",
"authorized_official_first_name": "EVELYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-985-3656",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TenderLivingCare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.