Organization Active NPI

Uplift 100 LLC

  • Adult Day Care Clinic/Center
  • Plano, TX
National Provider Identifier
1295499648
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
UPLIFT 100 LLC
Practice address
5212 Village Creek Dr # a
Plano, TX 75093-5066
Phone
(972) 773-9610
Fax
(972) 863-9686
NPI assigned
Oct 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
PA Musa Nyang
Title
Operations
Phone
(914) 671-3855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Respite Care 385H00000X

Addresses

Primary practice location

5212 Village Creek Dr # a
Plano, TX 75093-5066

Mailing address

2365 Apollo St
924
Garland, TX 75044-6332
Phone (914) 671-3855

National Provider Directory

National Provider Directory

Locations

5212 Village Creek Dr
#A
Plano, TX 75093
Phone (972) 773-9610

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1295499648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 APOLLO ST",
            "address_2": "924",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750446332",
            "telephone_number": "914-671-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 VILLAGE CREEK DR # A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935066",
            "telephone_number": "972-773-9610",
            "fax_number": "972-863-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFT 100 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "NYANG",
        "authorized_official_first_name": "PA",
        "authorized_official_middle_name": "MUSA",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "914-671-3855"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.