Active NPI
Lucressa Assisted Living
- Community Health Worker
- Dallas, TX
National Provider Identifier
1104120930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 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
National Provider Directory
National Provider DirectoryNPI 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.