Stella Rd Assisted Living

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

121668 Issued in TX

Legal business name

STELLA RD ASSISTED LIVING

Practice address

1847 Stella Ave
Dallas, TX 75203-4225

Phone

(214) 948-1399

NPI assigned

Oct 31, 2007

Last updated

Oct 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Avis L Young Sr.

Title

Owner

Phone

(214) 942-3215

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1407035983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 STELLA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752034225",
            "telephone_number": "214-948-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 STELLA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752034225",
            "telephone_number": "214-948-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLA RD ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "AVIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-942-3215",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "121668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Edwin Steinmetz, M.D.
• Kara E. Stejskal, NP
• Laura Marian Stelk, APRN
• Stella Mattina Health Inc
• Stella Mattina Primary Care Inc
• Patricia Jane Stella, M.S. CCC-SLP
• Stellar Care Network, LLC
• Stellar Implants, PLLC (Stellar Implant Center)
• Stellar Primary Care PLLC
• Jordan Stellato, PA-C

• Health Maintenance Organization in Dallas, TX
• Providers in Dallas, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.