Organization Active NPI

Lucressa Assisted Living

  • Community Health Worker
  • Dallas, TX
National Provider Identifier
1104120930
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
LUCRESSA ASSISTED LIVING
Practice address
2314 S Ewing Ave
Dallas, TX 75216-2423
Phone
(972) 217-9297
Fax
(972) 230-2832
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mr. Leon Wright
Title
Partner
Phone
(972) 217-9297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

2314 S Ewing Ave
Dallas, TX 75216-2423

Mailing address

2314 South Ewing Ave
Dallas, TX 75216
Phone (972) 217-9297

Other names 1

  • LUCRESSA ASSISTED LIVING Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1104120930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 SOUTH EWING AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75216",
            "telephone_number": "972-217-9297",
            "fax_number": "972-230-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 S EWING AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752162423",
            "telephone_number": "972-217-9297",
            "fax_number": "972-230-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCRESSA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-217-9297",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUCRESSA ASSISTED LIVING",
            "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 Jun 20, 2018; 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.