DHC Opco- Richardson, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DHC OPCO- RICHARDSON, LLC

Doing business as

Cottonwood Creek Healthcare Community

Practice address

1111 W Shore Dr
Richardson, TX 75080-4046

Phone

(972) 783-8000

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

Jenny Bono

Title

Credentialing Rep

Phone

(337) 532-5799

Specialties & licenses 1

Addresses

Other names 1

• Cottonwood Creek Healthcare Community Doing business as

Locations

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1861205429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MAGNATE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W SHORE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804046",
            "telephone_number": "972-783-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHC OPCO- RICHARDSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "BONO",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING REP",
        "authorized_official_telephone_number": "337-532-5799"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottonwood Creek Healthcare Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Richardson, TX
• Providers in Richardson, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.