Active NPI
Enlighten Insurance & Services PLLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Dallas, TX
National Provider Identifier
1396500963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- ENLIGHTEN INSURANCE & SERVICES PLLC
- Practice address
- 6119 University Hills Blvd
Dallas, TX 75241-2516 - Phone
- (469) 320-9058
- NPI assigned
- Feb 13, 2024
- 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
- Taraney Ephraim-Surrell
- Title
- Managing Member
- Phone
- (214) 505-8609
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary | ||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
6119 University Hills Blvd
Dallas, TX 75241-2516
Mailing address
818 Flamingo Way
Duncanville, TX 75116-4021
Phone (214) 505-8609
Other names 1
- A Jewells Safe Place Affordable Living Solution
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1396500963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 FLAMINGO WAY",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751164021",
"telephone_number": "214-505-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6119 UNIVERSITY HILLS BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752412516",
"telephone_number": "469-320-9058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENLIGHTEN INSURANCE & SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-13",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "EPHRAIM-SURRELL",
"authorized_official_first_name": "TARANEY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "214-505-8609"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A Jewells Safe Place Affordable Living Solution",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "A Jewells Safe Place Affordable Living Solution",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.