Mecca Group

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MECCA GROUP

Practice address

1213 Patricia LN
Garland, TX 75042

Phone

(214) 809-6170

Fax

(972) 767-4848

NPI assigned

Jun 29, 2011

Organization subpart

Yes

Parent organization

MECCA GROUPAs reported in NPPES

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

Authorized official

Name

Mrs. Lisa A. Smith

Title

President

Phone

(972) 464-8898

Specialties & licenses 3

Addresses

Part of

Mecca Group

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1093002917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 PATRICIA LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "214-809-6170",
            "fax_number": "972-767-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 PATRICIA LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "214-809-6170",
            "fax_number": "972-767-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECCA GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MECCA GROUP",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-464-8898",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.