Organization Active NPI

Blessed & Favored Assisted Living Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Arlington, TX
National Provider Identifier
1477839082
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
SSN/ITIN/EIN Issued in TX
Legal business name
BLESSED & FAVORED ASSISTED LIVING INC.
Practice address
1807 Lost Crossing TRL
Arlington, TX 76002-3637
Phone
(817) 500-8496
NPI assigned
Oct 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Brandy Kutrace Moore
Title
President
Phone
(817) 500-8496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X SSN/ITIN/EIN TX Primary

Addresses

Primary practice location

1807 Lost Crossing TRL
Arlington, TX 76002-3637

Mailing address

901 Coury Rd
Apt#19
Everman, TX 76140-4355
Phone (817) 500-8496

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1477839082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 COURY RD",
            "address_2": "APT#19",
            "city": "EVERMAN",
            "state": "TX",
            "postal_code": "761404355",
            "telephone_number": "817-500-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 LOST CROSSING TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023637",
            "telephone_number": "817-500-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED & FAVORED ASSISTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "KUTRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-500-8496"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "SSN/ITIN/EIN",
            "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 Oct 26, 2011; 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.