Manor Assisted Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

123891 Issued in TX

Legal business name

MANOR ASSISTED CARE LLC

Practice address

6723 Atha Dr
Dallas, TX 75217-5664

Phone

(214) 490-6103

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Keith PowellNPI 1831334382

Title

Managing Member

Phone

(972) 224-4015

Specialties & licenses 1

Addresses

Practitioners 1

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

• Keith A Powell

  • Ambulance
  • Desoto, TX
  • NPI 1831334382
  NPD (past) Authorized official

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1265683841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1472 N HAMPTON RD",
            "address_2": "STE 111",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153001",
            "telephone_number": "972-224-4015",
            "fax_number": "972-224-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 ATHA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752175664",
            "telephone_number": "214-490-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR ASSISTED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-224-4015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "123891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin R Manning, MD
• Zachariah C Manning
• Angela D. Manns
• Brent Steven Manns, PHARM D
• Manoochehr Khatami, M.D., P.a.
• Manor Care of Dallas TX LLC
• Navid Manouchehri Ardestani, MD
• Alex Brian Manrique, D.D.S.
• Meredith Grace Mansfield, COTA/L
• Caitlin Mansker

• 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 Oct 1, 2008; 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.