Thomas-Pullen Instution of Hope, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

THOMAS-PULLEN INSTUTION OF HOPE, LLC

Practice address

212 Burberry
Grand Prairie, TX 75052-0033

Phone

(214) 493-2313

Fax

(469) 520-5283

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Shameka T. Grant, LPC

Title

Owner/Ceo

Phone

(214) 493-2313

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1548757446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BURBERRY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520033",
            "telephone_number": "214-493-2313",
            "fax_number": "469-520-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BURBERRY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520033",
            "telephone_number": "214-493-2313",
            "fax_number": "469-520-5283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 N Hwy 360 Ste 220",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750501451",
            "country_code": "US",
            "telephone_number": "254-652-0304",
            "fax_number": "469-520-5283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THOMAS-PULLEN INSTUTION OF HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "214-493-2313",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124188446",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Hospital in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Psychiatric Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.