A Home of Your Own

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

A HOME OF YOUR OWN

Practice address

9822 Amberton Pkwy
Dallas, TX 75243-2016

Phone

(214) 679-2152

NPI assigned

Oct 15, 2014

Last updated

Oct 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Regenia MarshallNPI 1770839516

Title

Owner

Phone

(214) 679-2152

Specialties & licenses 1

Addresses

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.

• Regenia Kay Marshall

  • Behavior Analyst
  • Dallas, TX
  • NPI 1770839516
  NPD (past) Authorized official

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1508260886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9822 AMBERTON PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432016",
            "telephone_number": "214-679-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9822 AMBERTON PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432016",
            "telephone_number": "214-679-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HOME OF YOUR OWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "REGENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-679-2152"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.