NPIMap

Organization Active NPI

Renee'S House

  • Assisted Living Facility
  • Dallas, TX
National Provider Identifier
1235558651
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
105715 Issued in TX
Legal business name
RENEE'S HOUSE
Practice address
5748 Plum Dale Rd
Dallas, TX 75241-2935
Phone
(469) 563-8884
Fax
(469) 442-0121
NPI assigned
Apr 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Marqiese Sims
Title
Owner
Phone
(469) 563-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 105715 TX Primary

Addresses

Primary practice location

5748 Plum Dale Rd
Dallas, TX 75241-2935

Mailing address

5748 Plum Dale Rd
Dallas, TX 75241-2935
Phone (469) 563-8884

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherTXNONE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1235558651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5748 PLUM DALE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752412935",
            "telephone_number": "469-563-8884",
            "fax_number": "469-442-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5748 PLUM DALE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752412935",
            "telephone_number": "469-563-8884",
            "fax_number": "469-442-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "MARQIESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-563-8884"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "105715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 14, 2014; 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.