Organization Active NPI

Carolyn'S Unique Learning Activity Center Limited Liability Company

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Garland, TX
National Provider Identifier
1609138353
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CAROLYN'S UNIQUE LEARNING ACTIVITY CENTER LIMITED LIABILITY COMPANY
Practice address
3214 Oak Hill Dr
Garland, TX 75043-1320
Phone
(214) 664-6900
Fax
(866) 302-8828
NPI assigned
Jun 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Mrs. Carolyn Johnson
Title
Limited Liability Company
Phone
(214) 664-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3214 Oak Hill Dr
Garland, TX 75043-1320

Mailing address

PO Box 496732
Garland, TX 75049-6732
Phone (214) 664-6900

National Provider Directory

National Provider Directory

Locations

3939 US Highway 80 E
Ste 110
Mesquite, TX 75150
Phone (214) 664-6900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1609138353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496732",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750496732",
            "telephone_number": "214-664-6900",
            "fax_number": "886-302-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 OAK HILL DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431320",
            "telephone_number": "214-664-6900",
            "fax_number": "866-302-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN'S UNIQUE LEARNING ACTIVITY CENTER LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "LIMITED LIABILITY COMPANY",
        "authorized_official_telephone_number": "214-664-6900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.