Dallas Lending Source, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DALLAS LENDING SOURCE, LLC

Practice address

17250 Dallas Pkwy # 201
Dallas, TX 75248-1136

Phone

(817) 870-4653

Fax

(817) 592-5979

NPI assigned

Mar 1, 2010

Organization subpart

No

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

Authorized official

Name

Sujata Kumaraswamy, RN

Title

Oener

Phone

(682) 554-5313

Specialties & licenses 3

Addresses

Other names 2

• DLS Home Health Services Doing business as
• DLS Home Helath Services Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747591

Legal name

DALLAS LENDING SOURCE, LLC

Doing business as

DLS HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 7, 2011

Last certification

Aug 20, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Nov 25, 2009 in TX

Enrollment address

17250 Dallas Pkwy
Ste 201
Dallas, TX 75248-1136

Listed as

DLS Home Health ServicesCCN 747591

Ownership

Proprietary

Certified

Jul 7, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1164745451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 DALLAS PKWY # 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481136",
            "telephone_number": "817-870-4653",
            "fax_number": "817-592-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17250 DALLAS PKWY # 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481136",
            "telephone_number": "817-870-4653",
            "fax_number": "817-592-5979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Uptown Blvd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Cedar Hill",
            "state": "TX",
            "postal_code": "751043528",
            "country_code": "US",
            "telephone_number": "972-291-3531",
            "fax_number": "972-499-2458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DALLAS LENDING SOURCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "KUMARASWAMY",
        "authorized_official_first_name": "SUJATA",
        "authorized_official_title_or_position": "OENER",
        "authorized_official_telephone_number": "682-554-5313",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "maxlink2022@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "17250 Dallas Pkwy # 201",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752481136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DLS Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DLS Home Helath Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DLS Home Helath Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.