Lifestyle Personal Care Service

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIFESTYLE PERSONAL CARE SERVICE

Practice address

9304 Forest Lane Suite N271
Dallas, TX 75243

Phone

(214) 553-0277

Fax

(972) 584-9905

NPI assigned

Nov 17, 2011

Organization subpart

Yes

Parent organization

LIFESPAN RESOURCES OF TEXAS INCAs reported in NPPES

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

Authorized official

Name

Mr. Desmeioun L Aldridge

Title

Director of Business Services

Phone

(214) 553-0277

Specialties & licenses 1

Addresses

Part of

Lifespan Resources of Texas Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lifespan Resources of Texas, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Dallas, TX
  • NPI 1588997712
  NPPES parent name

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1821365958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 FOREST LN STE N271",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436238",
            "telephone_number": "214-553-0277",
            "fax_number": "972-584-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 FOREST LANE SUITE N271",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "214-553-0277",
            "fax_number": "972-584-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE PERSONAL CARE SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFESPAN RESOURCES OF TEXAS INC",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "ALDRIDGE",
        "authorized_official_first_name": "DESMEIOUN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "214-553-0277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liferestore MD USA LLC (RestoreDOC MD)
• Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole MBR
• Lifespan Pharmacy Inc (Lifespan Pharmacy)
• Lifespan Resources of Texas, Inc.
• Lifestyle Changes Wellness Center
• Lifetime Care, LLC
• Lifetime Home Care LLC
• Lifetime Home Health
• Lifetimenursescare, Inc.
• Lifeworks Counseling Center PLLC

• In Home Supportive Care Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.