Organization Active NPI

Le Reve Memory Care LLC

  • Assisted Living Facility
  • Dallas, TX
National Provider Identifier
1740747815
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LE REVE MEMORY CARE LLC
Practice address
3309 Dilido Road
Dallas, TX 75228
Phone
(972) 523-7370
Fax
(214) 203-1399
NPI assigned
Feb 26, 2019
Last updated
Feb 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Troy Issac
Title
Managing Member
Phone
(972) 523-7370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

3309 Dilido Road
Dallas, TX 75228

Mailing address

4124 Gus Thomasson Rd
Mesquite, TX 75150-2226
Phone (972) 523-7370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1740747815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 GUS THOMASSON RD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502226",
            "telephone_number": "972-523-7370",
            "fax_number": "214-203-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 DILIDO ROAD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75228",
            "telephone_number": "972-523-7370",
            "fax_number": "214-203-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE REVE MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "ISSAC",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-523-7370"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.