Organization Active NPI

Embrace HCS Living, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Grand Prairie, TX
National Provider Identifier
1861184269
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
EMBRACE HCS LIVING, LLC
Practice address
3500 S Great Southwest Pkwy Apt 904
Grand Prairie, TX 75052-7392
Phone
(469) 826-0010
NPI assigned
May 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Shamira Conaway
Title
Member
Phone
(469) 826-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3500 S Great Southwest Pkwy Apt 904
Grand Prairie, TX 75052-7392

Mailing address

3500 S Great Southwest Pkwy Apt 904
Grand Prairie, TX 75052-7392
Phone (469) 826-0010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1861184269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S GREAT SOUTHWEST PKWY APT 904",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527392",
            "telephone_number": "469-826-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S GREAT SOUTHWEST PKWY APT 904",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527392",
            "telephone_number": "469-826-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE HCS LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "CONAWAY",
        "authorized_official_first_name": "SHAMIRA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "469-826-0010"
    },
    "taxonomies": [
        {
            "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": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.