Dallas Nursing Home LLC

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

118035 Issued in TX

Legal business name

DALLAS NURSING HOME LLC

Practice address

2525 Centerville Rd
Dallas, TX 75228-2634

Phone

(214) 327-4503

Fax

(214) 320-2683

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Conner

Title

Member

Phone

(610) 832-2059

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• GOLDEN ACRES Doing business as

Locations

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1043401334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 PLYMOUTH RD",
            "address_2": "SUITE 412",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621641",
            "telephone_number": "610-832-2059",
            "fax_number": "610-834-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CENTERVILLE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752282634",
            "telephone_number": "214-327-4503",
            "fax_number": "214-320-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-832-2059",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "TX",
            "license": "118035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPICE - MEDICARE",
            "identifier": "45-1635",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPICE - MEDICAID",
            "identifier": "00212200",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN ACRES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Inpatient Hospice in Dallas, TX
• Providers in Dallas, TX by specialty
• Inpatient Hospice in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.