Active NPI
Carbo Investments LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Red Oak, TX
National Provider Identifier
1164111464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- CARBO INVESTMENTS LLC
- Practice address
- 629 Medinah Rd
Red Oak, TX 75154-2750 - Phone
- (469) 415-5345
- NPI assigned
- May 2, 2023
- Last updated
- May 2, 2023
- 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
- Leesean Bolling
- Title
- Director
- Phone
- (214) 698-9371
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Custodial Care Facility | 311Z00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
629 Medinah Rd
Red Oak, TX 75154-2750
Mailing address
8624 Ferguson Rd Unit 571766
Dallas, TX 75357-7589
Phone (214) 698-9371
National Provider Directory
National Provider DirectoryLocations
8624 Ferguson Rd
Unit 571766
Dallas, TX 75357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682985600000",
"number": "1164111464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8624 FERGUSON RD UNIT 571766",
"city": "DALLAS",
"state": "TX",
"postal_code": "753577589",
"telephone_number": "214-698-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 MEDINAH RD",
"city": "RED OAK",
"state": "TX",
"postal_code": "751542750",
"telephone_number": "469-415-5345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARBO INVESTMENTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A",
"authorized_official_last_name": "BOLLING",
"authorized_official_first_name": "LEESEAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "214-698-9371"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.