Patriots Housecalls LLC

Primary specialty

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

Legal business name

PATRIOTS HOUSECALLS LLC

Practice address

2665 Villa Creek Dr Ste 205
Dallas, TX 75234-7337

Phone

(469) 278-3736

NPI assigned

Sep 14, 2021

Organization subpart

No

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

Authorized official

Name

Josephine DevadossNPI 1649932245

Title

Owner

Phone

(217) 735-6622

Specialties & licenses 1

Addresses

Other names 1

• PATRIOTS HOUSECALLS LLC Former legal business name

Locations

Practitioners 1

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

• Josephine Devadoss

  • Contractor
  • Dallas, TX
  • NPI 1649932245
  NPD (past) Authorized official

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1043980808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 VILLA CREEK DR STE 205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 VILLA CREEK DR STE 205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347337",
            "telephone_number": "469-278-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOTS HOUSECALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "DEVADOSS",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-735-6622"
    },
    "taxonomies": [
        {
            "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": [
        {
            "organization_name": "PATRIOTS HOUSECALLS LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "PATRIOTS HOUSECALLS LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Joscyln McKenzie Patrick, PNP
• Ronald Kevin Patrick, RPH, MBA
• Stephen K Patrick, M.D.
• Steve Wayne Patrick, PSY.D.
• Patriot Mobile Imaging, LLC
• Ankita Patro, MD, MS
• Cynthia Patschull, OTS
• Sanjay Pattani, M.D.
• Georgia Electra Pattee, PA
• Anne Cuthbert Patten

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dallas, TX
• Providers in Dallas, 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 Oct 21, 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.

Verify at the official NPI Registry.