Active NPI
Linda Dixon
Doing business as Divine Community Based Services
- Case Management Agency
- Grand Prairie, TX
National Provider Identifier
1093144958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- LINDA DIXON
- Doing business as
- Divine Community Based Services
- Practice address
- 2650 South Forum Drive #18104
Grand Prairie, TX 75052 - Phone
- (817) 721-5801
- NPI assigned
- Nov 1, 2013
- Last updated
- Nov 1, 2013
- 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
- Linda F Dixon
- Title
- Owner
- Phone
- (817) 721-5801
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary | |
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU |
Addresses
Primary practice location
2650 South Forum Drive #18104
Grand Prairie, TX 75052
Mailing address
PO Box 201964
Arlington, TX 76006-1964
Phone (817) 721-5801
Other names 1
- Divine Community Based Services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Case Management Agency
- Arlington, TX
- NPI 1104254226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383264000000",
"number": "1093144958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 201964",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760061964",
"telephone_number": "817-721-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 SOUTH FORUM DRIVE #18104",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "75052",
"telephone_number": "817-721-5801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA DIXON",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-01",
"last_updated": "2013-11-01",
"status": "A",
"authorized_official_last_name": "DIXON",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-721-5801"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Divine Community Based Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Prairie, TX
- Brandon J. Lewis, DPM
- Thonas O'Neal Lewis, LBSW,LCDC
- Liberty Healthcare United, PA
- Karen Rebecca Liddell, OTD, OTR
- Life Revise Counseling
- Jacqueline Linville
- Live Life Freely Inc
- Living Faith Healthcare, PLLC
- Living Spring Family Psychiatry
- Livingwell Labs Inc. (ARCpoint Labs of Grand Prairie-South)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.