Raquel Long

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

210 W Pembroke Ave
Dallas, TX 75208-6727

Phone

(469) 844-8424

NPI assigned

Dec 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Raquel Bent Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1356716682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W PEMBROKE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752086727",
            "telephone_number": "469-844-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W PEMBROKE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752086727",
            "telephone_number": "469-844-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "RAQUEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAQUEL",
            "last_name": "BENT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Long
• Kristi Long, D.C.
• Leanne Lashea Long
• Lee Ross Long, LPC
• Nathan Paul Long, M.D.
• Richard Lewis Long Jr., PSY.D.
• Ryan Brady Long, MSPT, ATP
• Sharon Long
• Sloan Long, MD
• Oluwole Longe, M.D.

• Adult Care Home Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.