Organization Active NPI

Higher Dimensional Fellowship

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Garland, TX
National Provider Identifier
1194854216
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
HIGHER DIMENSIONAL FELLOWSHIP
Practice address
916 North Jupiter Rd
Garland, TX 75042-5441
Phone
(972) 205-9810
Fax
(972) 205-9221
NPI assigned
Mar 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Doris M Smith
Title
Program Manager
Phone
(972) 205-9810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X TX Primary

Addresses

Primary practice location

916 North Jupiter Rd
Garland, TX 75042-5441

Mailing address

PO Box 461322
Garland, TX 75046-1322
Phone (972) 205-9810

National Provider Directory

National Provider Directory

Locations

916 N Jupiter Rd
Garland, TX 75042
Phone (972) 205-9810

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194854216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461322",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750461322",
            "telephone_number": "972-205-9810",
            "fax_number": "972-205-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 NORTH JUPITER RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425441",
            "telephone_number": "972-205-9810",
            "fax_number": "972-205-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHER DIMENSIONAL FELLOWSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "972-205-9810",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.