Active NPI
Premier Hearts Residential Living
- Developmentally Disabled Services Day Training Agency
- Dallas, TX
National Provider Identifier
1154220804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- PREMIER HEARTS RESIDENTIAL LIVING
- Practice address
- 148 Bushel LN
Dallas, TX 75241-5334 - Phone
- (214) 306-3747
- NPI assigned
- Nov 2, 2026
- Last updated
- Nov 2, 2026
- 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
- Mary Ellen Dedmond-Griffin
- Title
- Manger
- Phone
- (214) 306-3747
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
148 Bushel LN
Dallas, TX 75241-5334
Mailing address
148 Bushel LN
Dallas, TX 75241-5334
Phone (214) 306-3747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793577600000",
"number": "1154220804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 BUSHEL LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752415334",
"telephone_number": "214-306-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 BUSHEL LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752415334",
"telephone_number": "214-306-3747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEARTS RESIDENTIAL LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2026-11-02",
"last_updated": "2026-11-02",
"certification_date": "2026-11-02",
"status": "A",
"authorized_official_last_name": "DEDMOND-GRIFFIN",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "MANGER",
"authorized_official_telephone_number": "214-306-3747"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.