Organization Active NPI

Lithonia Healthcare Development LLC

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1336766526
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 9, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
45D2239956OtherTXCLIA WAIVER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@vaxedup.com Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.