Organization Active NPI

Dallas Home for Jewish Aged, Inc.

  • Inpatient Hospice
  • Dallas, TX
National Provider Identifier
1316907181
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
Legal business name
DALLAS HOME FOR JEWISH AGED, INC.
Practice address
2525 Centerville Rd
Dallas, TX 75228-2634
Phone
(214) 327-4503
Fax
(214) 320-2683
NPI assigned
Mar 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Michael Ellentuck
Title
President
Phone
(972) 490-7251

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X 451635 TX
Inpatient Hospice 315D00000X TX Primary

Addresses

Primary practice location

2525 Centerville Rd
Dallas, TX 75228-2634

Mailing address

5100 Belt Line Rd
Suite 430
Dallas, TX 75254-7559
Phone (972) 490-7251

Other names 1

  • Golden Acres Hospice Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1316907181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BELT LINE RD",
            "address_2": "SUITE 430",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547559",
            "telephone_number": "972-490-7251",
            "fax_number": "972-387-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CENTERVILLE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752282634",
            "telephone_number": "214-327-4503",
            "fax_number": "214-320-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS HOME FOR JEWISH AGED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-25",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "ELLENTUCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-490-7251"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "TX",
            "license": "451635",
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Acres Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.