1 House of Angels.

Key facts

NPI

1194104752

Entity type

Organization (NPI type 2)

Primary specialty

Physical Disabilities Residential Treatment Facility 320700000X

License

226234 (TX)

Legal business name

1 HOUSE OF ANGELS.

Practice address

7507 Cresswell Dr
Arlington, TX 76001-5919

Phone

(817) 228-5438

Fax

(817) 538-5203

NPI assigned

May 28, 2015

Organization subpart

No

Authorized official

Name

Mrs. Tanesha Lauren Scott, NURSE NPI 1164827002

Title

LVN

Phone

(817) 228-5438

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanesha Lauren Scott, RN Non-emergency Medical Transport (VAN) · Arlington, TX · NPI 1164827002
  NPD (past) Authorized official

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 28, 2015.

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1194104752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7507 CRESSWELL DR.",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76001",
            "telephone_number": "817-228-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7507 CRESSWELL DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015919",
            "telephone_number": "817-228-5438",
            "fax_number": "817-538-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 HOUSE OF ANGELS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TANESHA",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "LVN",
        "authorized_official_telephone_number": "817-228-5438",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "TX",
            "license": "226234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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