Fhases-HCS,LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FHASES-HCS,LLC

Practice address

2429 Parkside Dr
Grand Prairie, TX 75052-4612

Phone

(817) 975-9448

Fax

(972) 206-2819

NPI assigned

May 25, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Lyvonne Greene-Simington

Title

Owner Manager

Phone

(817) 975-9448

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyvonne Greene- Simington, HCS-PROVIDER

  • Developmentally Disabled Services Day Training Agency
  • Grand Prairie, TX
  • NPI 1831259100

  Day Training, Developmentally Disabled Services

  NPD (past)

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

{
    "created_epoch": "1211673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211673600000",
    "number": "1760640957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 PARKSIDE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524612",
            "telephone_number": "817-975-9448",
            "fax_number": "972-206-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 PARKSIDE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524612",
            "telephone_number": "817-975-9448",
            "fax_number": "972-206-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHASES-HCS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-25",
        "last_updated": "2008-05-25",
        "status": "A",
        "authorized_official_last_name": "GREENE-SIMINGTON",
        "authorized_official_first_name": "LYVONNE",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "817-975-9448",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251C00000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Developmentally Disabled Services Day Training Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2008; 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.