Active NPI
Special Abilities of North Texas, Inc.
- Adult Day Care Clinic/Center
- Lewisville, TX
National Provider Identifier
1659448355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001001697 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Day Stay for Adults Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Lewisville, TX
- NPI 1174856413
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.