Organization Active NPI

Angels Day Rehabilitation Center

  • Developmentally Disabled Services Day Training Agency
  • Mesquite, TX
National Provider Identifier
1205310877
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ANGELS DAY REHABILITATION CENTER
Practice address
625 Pioneer Rd Ste 102
Mesquite, TX 75149-5286
Phone
(214) 429-1691
Fax
(469) 573-6239
NPI assigned
Sep 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Jacqueline BrooksNPI 1750685020
Title
Diretor
Phone
(214) 429-1691

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

625 Pioneer Rd Ste 102
Mesquite, TX 75149-5286

Mailing address

4017 Smartt St
Rowlett, TX 75088-4953
Phone (214) 429-1691

Other names 1

  • Angels Day Rehabilitation Center Other name

National Provider Directory

National Provider Directory

Locations

625 Pioneer Rd
Ste 102
Mesquite, TX 75149
Phone (214) 429-1691

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1205310877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 SMARTT ST",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884953",
            "telephone_number": "214-429-1691",
            "fax_number": "469-573-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PIONEER RD STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751495286",
            "telephone_number": "214-429-1691",
            "fax_number": "469-573-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS DAY REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DIRETOR",
        "authorized_official_telephone_number": "214-429-1691"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels Day Rehabilitation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.