Family Faith Residential Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

001009005 Issued in TX

Legal business name

FAMILY FAITH RESIDENTIAL CARE

Practice address

7104 Cloverglen Dr
Dallas, TX 75249-1433

Phone

(972) 523-5043

NPI assigned

Aug 18, 2010

Last updated

Aug 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latonia JenningsNPI 1184857666

Title

Program Director

Phone

(972) 523-5043

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latonia Rochelle Jennings, RN

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Dallas, TX
  • NPI 1184857666
  NPD (past) Authorized official

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1083929780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 QUAIL RUN LN",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751462844",
            "telephone_number": "972-523-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7104 CLOVERGLEN DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752491433",
            "telephone_number": "972-523-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FAITH RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "LATONIA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "972-523-5043"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "001009005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Dental Clinic, PC
• Family Desire Home Health Services
• Family DME Supply LLC
• Family Dynamics Inc
• Family Empowerment & Life Management Services
• Family First 2, LLC (Home Matters Caregiving)
• Family First Counseling
• Family Foot Clinic, P.C. (Foot Health Center)
• Family Foot Clinic, P.C.
• Family Healthwatch, P.C.

• Adult Care Home Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.