Organization Active NPI

Alice Branch Healthcare LLC

  • Assisted Living Facility
  • Dallas, TX
National Provider Identifier
1407350366
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ALICE BRANCH HEALTHCARE LLC
Doing business as
The Villages of Dallas
Practice address
550 E Ann Arbor Ave
Dallas, TX 75216-6718
Phone
(214) 376-1701
NPI assigned
Mar 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Ms. Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

550 E Ann Arbor Ave
Dallas, TX 75216-6718

Mailing address

550 E Ann Arbor Ave
Dallas, TX 75216-6718
Phone (214) 376-1701

Other names 1

  • The Villages of Dallas Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1407350366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E ANN ARBOR AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752166718",
            "telephone_number": "214-376-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E ANN ARBOR AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752166718",
            "telephone_number": "214-376-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE BRANCH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Villages of Dallas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Villages of Dallas",
            "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 Sep 21, 2022; 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.