White House Manor Care Corporation

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

WHITE HOUSE MANOR CARE CORPORATION

Practice address

1024 Meadowbrooke Dr
Cedar Hill, TX 75104-3262

Phone

(469) 396-9117

Fax

(214) 594-9278

NPI assigned

Sep 19, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Teizo D Adkison

Title

Executive Director

Phone

(469) 396-9117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1700288867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 MEADOWBROOKE DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043262",
            "telephone_number": "469-396-9117",
            "fax_number": "214-594-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MEADOWBROOKE DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043262",
            "telephone_number": "469-396-9117",
            "fax_number": "214-594-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE HOUSE MANOR CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "ADKISON",
        "authorized_official_first_name": "TEIZO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "469-396-9117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn R Welch, NP
• Katrina Diane Michelle Wells
• Traci Lynn Wesley
• Penny C. West, MD
• Derenda Denise Whitaker
• Karessa L White, LCSW
• Tiffany White
• Brytani Whitt
• Nikitah Whittaker
• Raymona N Wilburn, PNP-BC

• Adult Care Home Facility in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.