Organization Active NPI

Kylie's Adult Daycare Services

  • Adult Day Care Clinic/Center
  • Mesquite, TX
National Provider Identifier
1457759045
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
KYLIE'S ADULT DAYCARE SERVICES
Practice address
3939 US Highway 80 E
305
Mesquite, TX 75150-3359
Phone
(972) 805-6674
Fax
(972) 698-0844
NPI assigned
Dec 12, 2014
Last updated
Feb 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Ms. Ngozi TilleyNPI 1437600269
Title
Administrator
Phone
(214) 742-9407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

3939 US Highway 80 E
305
Mesquite, TX 75150-3359

Mailing address

4593 Mountain Laurel Dr
Grand Prairie, TX 75052-2903
Phone (972) 805-6674

National Provider Directory

National Provider Directory

Locations

3939 US Highway 80 E
Ste 305
Mesquite, TX 75150
Phone (972) 698-0404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1457759045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4593 MOUNTAIN LAUREL DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522903",
            "telephone_number": "972-805-6674",
            "fax_number": "972-698-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E",
            "address_2": "305",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503359",
            "telephone_number": "972-805-6674",
            "fax_number": "972-698-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLIE'S ADULT DAYCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-742-9407",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.