Organization Active NPI

Lucky Love Gold Diamond

  • Personal Care Attendant
  • Arlington, TX
National Provider Identifier
1417669078
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
LUCKY LOVE GOLD DIAMOND
Practice address
1120 E Pioneer Pkwy Ste 102
Arlington, TX 76010-6400
Phone
(682) 234-5074
NPI assigned
Dec 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Elaine Nguyen
Title
Manager
Phone
(682) 234-5074

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

1120 E Pioneer Pkwy Ste 102
Arlington, TX 76010-6400

Mailing address

1120 E Pioneer Pkwy Ste 102
Arlington, TX 76010-6400
Phone (682) 234-5074

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1417669078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E PIONEER PKWY STE 102",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106400",
            "telephone_number": "682-234-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E PIONEER PKWY STE 102",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106400",
            "telephone_number": "682-234-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY LOVE GOLD DIAMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "682-234-5074"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

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