Preston Hollow
Organization Active NPI Assisted Living Facility · Dallas, TN
NPI 1316168446 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1316168446
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- PRESTON HOLLOW
- Practice address
- 4205 West Northwest Hwy
Dallas, TN 75220 - Phone
- (214) 357-7900
- Fax
- (503) 485-1279
- NPI assigned
- May 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Jon Harder
- Title
- Ceo President
- Phone
- (503) 485-8697
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2253797 | Parsons House Preston Hollow | Certificate of waiver | Feb 23, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
4205 West Northwest Hwy
Dallas, TN 75220
Mailing address
PO Box 3006
Sslem, OR 97302
Phone (503) 485-8697
Other providers in Dallas, TN
All providers in Dallas, TN · Assisted Living Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.