Active NPI
Lithonia Healthcare Development LLC
- Home Health Agency
- Dallas, TX
National Provider Identifier
1336766526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LITHONIA HEALTHCARE DEVELOPMENT LLC
- Practice address
- 8035 Erl Thornton Fwy
456
Dallas, TX 75228 - Phone
- (214) 484-4610
- Fax
- (214) 602-4077
- NPI assigned
- Jul 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adrian Taylor
- Title
- Administrator
- Phone
- (214) 484-4610
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Home Infusion Agency | 251F00000X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
8035 Erl Thornton Fwy
456
Dallas, TX 75228
Mailing address
7414 E Grand Ave Apt 422
Dallas, TX 75214-4249
Phone (214) 603-3975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D2239956 | Other | TX | CLIA WAIVER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@vaxedup.com | Direct |
National Provider Directory
National Provider DirectoryLocations
8035 E R L Thornton Fwy
Ste 456
Dallas, TX 75228
Phone (214) 484-4610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683590400000",
"number": "1336766526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7414 E GRAND AVE APT 422",
"city": "DALLAS",
"state": "TX",
"postal_code": "752144249",
"telephone_number": "214-603-3975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8035 ERL THORNTON FWY",
"address_2": "456",
"city": "DALLAS",
"state": "TX",
"postal_code": "75228",
"telephone_number": "214-484-4610",
"fax_number": "214-602-4077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITHONIA HEALTHCARE DEVELOPMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-03",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "ADRIAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-484-4610"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA WAIVER",
"identifier": "45D2239956",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@vaxedup.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8035 ERL Thornton Fwy",
"address_2": "456",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "75228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.