Organization Active NPI

Selah Neurological Respite Care, LLC

  • Respite Care
  • Dallas, TX
National Provider Identifier
1215577903
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
SELAH NEUROLOGICAL RESPITE CARE, LLC
Practice address
2626 Cole Ave Ste 300
Dallas, TX 75204-1094
Phone
(214) 865-8343
NPI assigned
Jan 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Shaudae McMillanNPI 1053814178
Title
Ceo
Phone
(216) 644-1871

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
Respite Care 385H00000X Primary

Addresses

Primary practice location

2626 Cole Ave Ste 300
Dallas, TX 75204-1094

Mailing address

2626 Cole Ave Ste 300
Dallas, TX 75204-1094

Other practice location 1

1350 N Greenville Ave
Richardson, TX 75081-2740
Phone (214) 865-8343

Other names 1

  • Selah Respite Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@selahrespite.com Direct

National Provider Directory

National Provider Directory

Locations

1350 N Greenville Ave
Richardson, TX 75081
Phone (214) 865-8343

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": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1215577903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 COLE AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 COLE AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041094",
            "telephone_number": "214-865-8343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 N Greenville Ave",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750812740",
            "country_code": "US",
            "telephone_number": "214-865-8343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SELAH NEUROLOGICAL RESPITE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "SHAUDAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-644-1871"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@selahrespite.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1350 N Greenville Ave",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750812740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Selah Respite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.