All American Fun Factory (Aaff)

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

ALL AMERICAN FUN FACTORY (AAFF)

Practice address

530 Rising Ridge Dr
Desoto, TX 75115-3860

Phone

(469) 865-9209

NPI assigned

Sep 14, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Kiesha Mazin Easterling, MED

Title

Program Manager

Phone

(469) 865-9209

Specialties & licenses 1

Addresses

Other names 1

• GABRIEL'S GATEWAY Doing business as

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1386977908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 RISING RIDGE DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153860",
            "telephone_number": "469-865-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 RISING RIDGE DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153860",
            "telephone_number": "469-865-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL AMERICAN FUN FACTORY (AAFF)",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "EASTERLING",
        "authorized_official_first_name": "KIESHA",
        "authorized_official_middle_name": "MAZIN",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "469-865-9209",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GABRIEL'S GATEWAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hassan Alhalabi, M.D.
• Align Spine and Sports Rehab, PLLC
• Align Whole Oneness Holistic Services Inc.
• All 4 One
• All About Living Hospice LLC
• All in One Home Health Care Services LLC
• Allergy & Clinical Immunology PLLC
• Alp Vision Care Services, PLLC
• Always by Your Side Sitting Service, LLC
• Amaze Smiles, PLLC

• All providers in Desoto, TX
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.