Red Maple Residential Care, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

RED MAPLE RESIDENTIAL CARE, LLC

Practice address

7111 Blackwillow LN
Dallas, TX 75249-1427

Phone

(972) 674-0307

NPI assigned

Jan 10, 2019

Last updated

Jul 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmed Haruna

Title

Manager

Phone

(469) 248-2319

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1164995387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 BLACKWILLOW LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752491427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 BLACKWILLOW LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752491427",
            "telephone_number": "972-674-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MAPLE RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "HARUNA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-248-2319"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Dallas, TX
• Providers in Dallas, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.