Organization Active NPI

Special Abilities of North Texas, Inc.

  • Adult Day Care Clinic/Center
  • Lewisville, TX
National Provider Identifier
1659448355
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SPECIAL ABILITIES OF NORTH TEXAS, INC.
Practice address
1960 Archer Ave.
Lewisville, TX 75077
Phone
(972) 317-1515
Fax
(972) 692-8170
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Mr. Troy Greisen
Title
Ceo
Phone
(972) 317-1515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 116170 TX
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1960 Archer Ave.
Lewisville, TX 75077

Mailing address

1960 Archer Ave.
Lewisville, TX 75077
Phone (972) 317-1515

Other identifiers 1

IdentifierTypeStateIssuer
001001697MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Day Stay for Adults 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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1659448355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 ARCHER AVE.",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75077",
            "telephone_number": "972-317-1515",
            "fax_number": "972-692-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 ARCHER AVE.",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75077",
            "telephone_number": "972-317-1515",
            "fax_number": "972-692-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL ABILITIES OF NORTH TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "GREISEN",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-317-1515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "116170",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001001697",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.