Affinity1

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

AFFINITY1

Practice address

3455 Highland Rd # 101
Dallas, TX 75228-7193

Phone

(469) 735-3395

NPI assigned

Oct 26, 2023

Organization subpart

No

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

Authorized official

Name

Larrymi Danielle MathisNPI 1013153006

Title

Program Manager

Phone

(469) 735-3395

Specialties & licenses 1

Addresses

Other names 1

• Nurturing Hearts/1 Ambitious Provider Doing business as

Practitioners 1

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

• Larrymi Danielle Mathis

  • Mental Illness Community Based Residential Treatment Facility
  • Dallas, TX
  • NPI 1013153006
  NPD Authorized official

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1225800998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 HIGHLAND RD # 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287193",
            "telephone_number": "469-735-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 HIGHLAND RD # 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287193",
            "telephone_number": "469-735-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY1",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "LARRYMI",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "469-735-3395"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurturing Hearts/1 Ambitious Provider",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Affirming Matters LLC
• Affordable Dentist Near Me
• Affordable Dentist Near Me Dallas PLLC.
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• Affordable Dentistry

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.