Mason's Personal Care Homes #2

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

119220 Issued in TX

Legal business name

MASON'S PERSONAL CARE HOMES #2

Practice address

10451 Summer Oaks Dr
Dallas, TX 75227-7681

Phone

(214) 235-3076

NPI assigned

Nov 2, 2016

Last updated

Nov 2, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

MASON'S PERSONAL CARE HOMESAs reported in NPPES

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

Authorized official

Name

Boris Earl Mason

Title

Administrator

Phone

(214) 235-3076

Specialties & licenses 1

Addresses

Part of

Mason's Personal Care Homes 2

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1235681594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 SUMMER OAKS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752277681",
            "telephone_number": "214-235-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 SUMMER OAKS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752277681",
            "telephone_number": "214-235-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON'S PERSONAL CARE HOMES #2",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASON'S PERSONAL CARE HOMES",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-235-3076"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "119220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gardenia Flor Mason
• Kiera Mason, MD
• Melissa Anne Mason, PA-C
• Nina Mason
• Sonja Mason, LCSW
• Masons Personal Care Homes Inc
• Mohtaram Masood, MD
• Tayyaba Masood
• Yusra Masood
• Sara Masoumi

• Assisted Living Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.