NPIMap

Organization Active NPI

D&S Residential Services, LP

  • Intellectual Disabilities Intermediate Care Facility
  • Memphis, TN
National Provider Identifier
1235571886
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
D&S RESIDENTIAL SERVICES, LP
Practice address
3432 Old Allen Rd
Memphis, TN 38128-4240
Phone
(901) 373-6544
NPI assigned
Jul 24, 2013
Organization subpart
Yes
Parent organization
D&S RESIDENTIAL HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Authorized official

Name
Brett Ian Cohen
Title
Coo
Phone
(800) 388-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

3432 Old Allen Rd
Memphis, TN 38128-4240

Mailing address

1122 S Capital of Texas Hwy
Suite 350
West Lake Hills, TX 78746-7175
Phone (512) 327-2325

Other names 1

  • Old Allen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 44G106

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
OLD ALLEN ICFMR
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 1, 2010
Last certification
Jan 8, 2025
Beds
4
Ownership / control type
Private (proprietary)
Facility address
3432 Old Allen
Memphis, TN 38128

National Provider Directory

National Provider Directory
Tax ID family
DS Residential Services LP77 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677888000000",
    "number": "1235571886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 S CAPITAL OF TEXAS HWY",
            "address_2": "SUITE 350",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787467175",
            "telephone_number": "512-327-2325",
            "fax_number": "512-327-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 OLD ALLEN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381284240",
            "telephone_number": "901-373-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&S RESIDENTIAL SERVICES, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D&S RESIDENTIAL HOLDINGS, LLC",
        "enumeration_date": "2013-07-24",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-388-5150"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Allen",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Old Allen",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.