Organization Active NPI

Sam'S Legacy Adult Day Center

  • Adult Day Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1508611583
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SAM'S LEGACY ADULT DAY CENTER
Practice address
9020 Bluecrest Dr
Dallas, TX 75232-5704
Phone
(214) 334-1485
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Florence Oshowole
Title
Administration
Phone
(214) 334-1485

Specialties & licenses 1

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

Addresses

Primary practice location

9020 Bluecrest Dr
Dallas, TX 75232-5704

Mailing address

1517 Wildwood Cir
Garland, TX 75042-8408
Phone (214) 334-1485

National Provider Directory

National Provider Directory

Locations

9020 Bluecrest Dr
Dallas, TX 75232
Phone (214) 334-1485

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1508611583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 WILDWOOD CIR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750428408",
            "telephone_number": "214-334-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 BLUECREST DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752325704",
            "telephone_number": "214-334-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S LEGACY ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "OSHOWOLE",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "214-334-1485"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.