Lucille'S Palace, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LUCILLE'S PALACE, LLC

Practice address

3361 Harmon Rd Unit 2110
Mansfield, TX 76063-5764

Phone

(817) 403-8465

NPI assigned

Feb 13, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Dara James

Title

Administrator

Phone

(817) 403-8465

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1851924203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 HARMON RD UNIT 2110",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635764",
            "telephone_number": "817-403-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 HARMON RD UNIT 2110",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635764",
            "telephone_number": "817-403-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCILLE'S PALACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "DARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-403-8465",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Rae Lovely, RD
• Steve Evan Lowe, OTR
• Jason Kirk Lowry, MD
• Candace Loyd
• Samantha Lucas
• Benito Lugo, LCDC
• Matthew Raymond Lussier, MD
• Judy Luu, LMFT
• Luxottica Retail North America Inc
• Lyfcare Homes

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.