Fredisolo Annointed Homes

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FREDISOLO ANNOINTED HOMES

Doing business as

Fredisolo Annointed Homes

Practice address

1400 Parkwood TRL
Mesquite, TX 75149-7604

Phone

(214) 753-9396

Fax

(972) 222-9039

NPI assigned

Aug 25, 2020

Last updated

Oct 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fredica Kiawu, LVNNPI 1396154068

Title

Director

Phone

(214) 753-9396

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• FREDISOLO ANNOINTED HOMES Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fredica Kiawu

  • Assisted Living Facility
  • Mesquite, TX
  • NPI 1396154068
  NPD (past) Authorized official

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1639782105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PARKWOOD TRL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751497604",
            "telephone_number": "214-753-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PARKWOOD TRL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751497604",
            "telephone_number": "214-753-9396",
            "fax_number": "972-222-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDISOLO ANNOINTED HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "KIAWU",
        "authorized_official_first_name": "FREDICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-753-9396",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105435",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fredisolo@gmail.com",
            "affiliation": "N",
            "address_1": "1400 Parkwood Trl",
            "city": "Mesquite",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751497604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FREDISOLO ANNOINTED HOMES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Fox, AU.D.
• Blessy Luka Francis, PT, DPT.
• Karen Franco, FNP-C
• Arian Franklin, MA
• Jennifer Frazier, LMSW
• Kathryn Freeland, OTR
• Lauren Freston, M.S.,CCC-SLP
• Flavia Frimpong, PHARMD
• Ft Healthcare Services Inc
• Desire' Fuentes-May, BCBA

• Assisted Living Facility in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Assisted Living Facility in Texas

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