Dallas Home for Jewish Aged, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

112773 Issued in TX

Legal business name

DALLAS HOME FOR JEWISH AGED, INC.

Doing business as

The Legacy at Preston Hollow

Practice address

11409 N Central Expy
Dallas, TX 75243-6678

Phone

(214) 363-5100

Fax

(241) 363-5133

NPI assigned

Jul 2, 2007

Last updated

Sep 30, 2013By 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

Mr. Brian Barnes

Title

Cfo

Phone

(972) 468-6171

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Legacy at Preston Hollow Doing business as

Locations

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1699972539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 OHIO DR",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242720",
            "telephone_number": "972-468-6171",
            "fax_number": "972-468-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11409 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436678",
            "telephone_number": "214-363-5100",
            "fax_number": "241-363-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS HOME FOR JEWISH AGED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-468-6171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "112773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012220",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART B CO-INSURANCE",
            "identifier": "165795901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Legacy at Preston Hollow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dallas Home for Jewish Aged (Golden Acres)
• Dallas Home for Jewish Aged, Inc. (Golden Acres Hospice)
• Dallas Home for Jewish Aged, Inc. (Veranda at Preston Hollow Assisted Living)
• Dallas Horizon Home Health Agency, LLC
• Dallas Hospice, Inc. (Elara Caring)
• Dallas Hospital Consultants PA
• Dallas Hospitalist, PA

• Skilled Nursing Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.