Homelike Residential Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HOMELIKE RESIDENTIAL SERVICES

Practice address

5847 Ridgeway Dr
Grand Prairie, TX 75052-0448

Phone

(214) 460-4669

NPI assigned

Aug 24, 2020

Organization subpart

No

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

Authorized official

Name

Christian Atem, NPNPI 1477807592

Title

President/Ceo

Phone

(214) 460-4669

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian A Atem, SA-C

  • Surgical Assistant
  • Grand Prairie, TX
  • NPI 1477807592
  NPD Authorized official

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1043823610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 RIDGEWAY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520448",
            "telephone_number": "214-460-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 RIDGEWAY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520448",
            "telephone_number": "214-460-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMELIKE RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "ATEM",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "214-460-4669",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477807592",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5847 Ridgeway Dr",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750520448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Benita Holland
• Prescott Benton Holland
• Hollaworld
• Susan Kemunto Holman, LVN
• Home Remedy Personal Care, LLC
• Robin Hood-Dardy, CERT HAIR LOSS SPEC
• Micshanna Hooper, LVN
• Amanda Carol Hopkins
• Horizon Residential Services
• James P Hosler, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.