NPIMap

Organization Active NPI

Dejus LLC

  • Assisted Living Facility
  • Fort Worth, TX
National Provider Identifier
1437384369
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DEJUS LLC
Doing business as
Pa'llage
Practice address
7801 Marlborough Dr W
Fort Worth, TX 76134-4309
Phone
(817) 293-2754
Fax
(817) 230-4938
NPI assigned
May 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Mrs. Deborah J Braziel, MEDICAL ASSISTANT
Title
Owner/Manager
Phone
(817) 293-2754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7801 Marlborough Dr W
Fort Worth, TX 76134-4309

Mailing address

7801 Marlborough Dr W
Fort Worth, TX 76134-4309
Phone (817) 293-2754

Other names 1

  • Pa'llage 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": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1437384369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 MARLBOROUGH DR W",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761344309",
            "telephone_number": "817-293-2754",
            "fax_number": "817-230-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 MARLBOROUGH DR W",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761344309",
            "telephone_number": "817-293-2754",
            "fax_number": "817-230-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEJUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "BRAZIEL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "817-293-2754",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MEDICAL ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pa'llage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.