Active NPI
Blessed & Favored Assisted Living Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Arlington, TX
National Provider Identifier
1477839082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- SSN/ITIN/EIN
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.