Organization Active NPI

Tree of Life Health Enterprise, LLC

Doing business as Tree of Life Health & Wellness Center

  • Multi-Specialty Clinic/Center
  • Dallas, TX
National Provider Identifier
1093304966
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TREE OF LIFE HEALTH ENTERPRISE, LLC
Doing business as
Tree of Life Health & Wellness Center
Practice address
7515 Greenville Ave
Dallas, TX 75231-3831
Phone
(214) 643-6405
Fax
(214) 643-6423
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Ms. Jessica D Jenkins, ARNP
Title
Owner
Phone
(214) 643-6405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

7515 Greenville Ave
Dallas, TX 75231-3831

Mailing address

7515 Greenville Ave Ste 600
Dallas, TX 75231-3819
Phone (214) 643-6405

Other identifiers 1

IdentifierTypeStateIssuer
00000000000OtherNONE

Other names 1

  • Tree of Life Health & Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

1193 S US 1
#12
Vero Beach, FL 32962

1193 S US Highway 1
Vero Beach, FL 32962

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1093304966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313819",
            "telephone_number": "214-643-6405",
            "fax_number": "214-643-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313831",
            "telephone_number": "214-643-6405",
            "fax_number": "214-643-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE HEALTH ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-643-6405",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "00000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tree of Life Health & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.