Organization Active NPI

FCN of Texas, Inc.

  • Assisted Living Facility
  • Desoto, TX
National Provider Identifier
1568899607
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FCN OF TEXAS, INC.
Practice address
1229 E Pleasant Run Rd
Suite 124
Desoto, TX 75115-4209
Phone
(469) 774-3053
NPI assigned
Oct 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Mrs. Demetra L Donaldson
Title
Executive Director
Phone
(469) 774-3053

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X TX Primary
Mental Illness Intermediate Care Facility 310500000X TX

Addresses

Primary practice location

1229 E Pleasant Run Rd
Suite 124
Desoto, TX 75115-4209

Mailing address

1229 E Pleasant Run Rd
Suite 124
Desoto, TX 75115-4209
Phone (469) 774-3053

National Provider Directory

National Provider Directory
Tax ID family
Faith Ministries of Texas Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1229 E Pleasant Run Rd
Ste 124
Desoto, TX 75115
Phone (469) 774-3053

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1568899607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 E PLEASANT RUN RD",
            "address_2": "SUITE 124",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154209",
            "telephone_number": "469-774-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 E PLEASANT RUN RD",
            "address_2": "SUITE 124",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154209",
            "telephone_number": "469-774-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCN OF TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "DEMETRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "469-774-3053",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.