Organization Active NPI

Friends Place Southwest LLC

  • Adult Day Care Clinic/Center
  • Desoto, TX
National Provider Identifier
1033727060
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FRIENDS PLACE SOUTHWEST LLC
Doing business as
Friends Place Adult Day Services
Practice address
1232 W Belt Line Rd
Desoto, TX 75115-3738
Phone
(972) 274-2484
Fax
(972) 274-0002
NPI assigned
Jul 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marylynne Henry
Title
Executive Director
Phone
(972) 274-2484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1232 W Belt Line Rd
Desoto, TX 75115-3738

Mailing address

1232 W Belt Line Rd
Desoto, TX 75115-3738
Phone (972) 274-2484

Other names 1

  • Friends Place Adult Day Services Doing business as

National Provider Directory

National Provider Directory

Locations

1232 W Belt Line Rd
Desoto, TX 75115
Phone (972) 274-2484

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1033727060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 W BELT LINE RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153738",
            "telephone_number": "972-274-2484",
            "fax_number": "972-274-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 W BELT LINE RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153738",
            "telephone_number": "972-274-2484",
            "fax_number": "972-274-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS PLACE SOUTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "MARYLYNNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "972-274-2484"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friends Place Adult Day Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.