Secure Haven Adult Day Care, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

117015 Issued in TX

Legal business name

SECURE HAVEN ADULT DAY CARE, INC.

Practice address

2837 W Illinois Ave
Dallas, TX 75233-1005

Phone

(214) 339-4920

Fax

(214) 339-3603

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Arris Don Wheaton Sr., DM

Title

Ceo/Director

Phone

(214) 339-4320

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831287994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752331005",
            "telephone_number": "214-339-4920",
            "fax_number": "214-339-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752331005",
            "telephone_number": "214-339-4920",
            "fax_number": "214-339-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE HAVEN ADULT DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEATON",
        "authorized_official_first_name": "ARRIS",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "214-339-4320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DM"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "117015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Second Home Adult Care
• John William Secor, M.D.
• Lydia C. Secor, WHCNP
• Audrey Mae Secord, SLP-ASSISTANT
• Leslie H Secrest, M.D.
• Secure Patient Delivery of Texas, LLC
• Secure Transportation
• Taylor Gomaa Sedate, MS, RDN, LD
• Luke W Seddelmeyer, PA
• Suresh Raj Sedhain, MD

• Adult Care Home Facility in Dallas, TX
• Providers in Dallas, 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 Aug 22, 2020; 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.