Active NPI
Greater Impressions Residential Care, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Dallas, TX
National Provider Identifier
1215537717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- GREATER IMPRESSIONS RESIDENTIAL CARE, LLC
- Practice address
- 5787 S Hampton Rd Ste 203
Dallas, TX 75232-2255 - Phone
- (469) 478-0573
- NPI assigned
- Oct 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lacinder Roseann King-Fulton, LMSW
- Title
- Program Director
- Phone
- (469) 478-0573
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | |||
| Adult Care Home Facility | 311ZA0620X | |||
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
5787 S Hampton Rd Ste 203
Dallas, TX 75232-2255
Mailing address
5787 S Hampton Rd Ste 203
Dallas, TX 75232-2255
Phone (469) 478-0573
National Provider Directory
National Provider DirectoryLocations
5787 S Hampton Rd
Ste 203
Dallas, TX 75232
Phone (469) 478-0573
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Custodial Care Facility
- Dallas, TX
- NPI 1942826318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1215537717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5787 S HAMPTON RD STE 203",
"city": "DALLAS",
"state": "TX",
"postal_code": "752322255",
"telephone_number": "469-478-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5787 S HAMPTON RD STE 203",
"city": "DALLAS",
"state": "TX",
"postal_code": "752322255",
"telephone_number": "469-478-0573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER IMPRESSIONS RESIDENTIAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-26",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "KING-FULTON",
"authorized_official_first_name": "LACINDER",
"authorized_official_middle_name": "ROSEANN",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "469-478-0573",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Greater North Texas Pediatrics PA
- Rene Nicole Greathouse
- Malka Grebenau, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.