Active NPI
RDC Action Group LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Ennis, TX
National Provider Identifier
1376456376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- RDC ACTION GROUP LLC
- Practice address
- 5581 W Highway 34
Ennis, TX 75119-1092 - Phone
- (214) 444-4361
- NPI assigned
- Sep 23, 2026
- Last updated
- Sep 23, 2026
- 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
- David Lopez
- Title
- Member
- Phone
- (469) 553-7480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | Primary |
Addresses
Primary practice location
5581 W Highway 34
Ennis, TX 75119-1092
Mailing address
8101 Boat Club Rd Ste 240-210
Fort Worth, TX 76179-3630
Phone (214) 444-4361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1376456376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 BOAT CLUB RD STE 240-210",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761793630",
"telephone_number": "214-444-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5581 W HIGHWAY 34",
"city": "ENNIS",
"state": "TX",
"postal_code": "751191092",
"telephone_number": "214-444-4361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RDC ACTION GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "469-553-7480"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ennis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.