Cagnolatti and Henderson Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

CAGNOLATTI AND HENDERSON INC.

Doing business as

Lifes Second Chance Treatment Center North

Practice address

1451 Empire Central Dr Ste 900
Dallas, TX 75247-4096

Phone

(469) 360-6794

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Lakisha HendersonNPI 1043651367

Title

Owner

Phone

(469) 360-6794

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lifes Second Chance Treatment Center North Doing business as

Electronic endpoints 1

Locations

Practitioners 2

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

• Lakisha Henderson, LICENSED NURSE

  • Addiction (Substance Use Disorder) Registered Nurse
  • Dallas, TX
  • NPI 1043651367
  NPD Authorized official
• Sullivan R Bryant, DO

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1700848371
  NPD

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1609496488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3543 RIO GRANDE CIR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752332553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 EMPIRE CENTRAL DR STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474096",
            "telephone_number": "469-360-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAGNOLATTI AND HENDERSON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-360-6794"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "1000096",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lifessecondchance@yahoo.com",
            "affiliation": "N",
            "address_1": "1451 Empire Central Dr Ste 900",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752474096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lifes Second Chance Treatment Center North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Caffey
• John Paul Cagaanan, CRNA
• Mark Stephen Cagle Jr., LPC
• Nicole Maureen Cagliostro, MSN, APRN, FNP-C
• Lianne Cagnazzi, MD
• Esther Cahani, PT, DPT
• Kathleen H. Cahill, MSSW
• David Xien Cai
• Fidel Cai
• Haibi Cai

• Methadone Clinic in Dallas, TX
• Providers in Dallas, TX by specialty
• Methadone Clinic in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.