Organization Active NPI

Pildash Living Home, Inc

  • Adult Care Home Facility
  • Arlington, TX
National Provider Identifier
1053084541
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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

Updated by the provider on Jul 29, 2021

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.