Active NPI
Pildash Living Home, Inc
- Adult Care Home Facility
- Arlington, TX
National Provider Identifier
1053084541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- PILDASH LIVING HOME, INC
- Practice address
- 1010 E Arkansas LN
Arlington, TX 76014-1363 - Phone
- (682) 365-7517
- Fax
- (817) 523-8807
- NPI assigned
- Jul 29, 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
- Rubby Adele
- Title
- Manager
- Phone
- (682) 365-7517
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
1010 E Arkansas LN
Arlington, TX 76014-1363
Mailing address
1010 E Arkansas LN
Arlington, TX 76014-1363
Phone (682) 365-7517
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627516800000",
"number": "1053084541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 E ARKANSAS LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760141363",
"telephone_number": "682-365-7517",
"fax_number": "817-523-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E ARKANSAS LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760141363",
"telephone_number": "682-365-7517",
"fax_number": "817-523-8807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PILDASH LIVING HOME, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-29",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A",
"authorized_official_last_name": "ADELE",
"authorized_official_first_name": "RUBBY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "682-365-7517"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.