Active NPI
Lasafe Home LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Garland, TX
National Provider Identifier
1023770906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- LASAFE HOME LLC
- Practice address
- 3306 W Walnut St Ste 403
Garland, TX 75042-7115 - Phone
- (469) 900-9766
- Fax
- (469) 519-0207
- NPI assigned
- Oct 8, 2021
- 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. Lucy Achan
- Title
- Executive Director
- Phone
- (469) 900-9766
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
3306 W Walnut St Ste 403
Garland, TX 75042-7115
Mailing address
3306 W Walnut St Ste 403
Garland, TX 75042-7115
Phone (469) 900-9766
National Provider Directory
National Provider DirectoryLocations
3306 W Walnut St
Ste 403
Garland, TX 75042
Phone (469) 900-9766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633651200000",
"number": "1023770906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 W WALNUT ST STE 403",
"city": "GARLAND",
"state": "TX",
"postal_code": "750427115",
"telephone_number": "469-900-9766",
"fax_number": "469-519-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 W WALNUT ST STE 403",
"city": "GARLAND",
"state": "TX",
"postal_code": "750427115",
"telephone_number": "469-900-9766",
"fax_number": "469-519-0207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASAFE HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-08",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A",
"authorized_official_last_name": "ACHAN",
"authorized_official_first_name": "LUCY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "469-900-9766",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"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": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.