Street Outreach Healthcare

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

STREET OUTREACH HEALTHCARE

Practice address

2379 Gus Thomasson Rd Ste 400
Mesquite, TX 75150-5302

Phone

(318) 751-7173

NPI assigned

May 21, 2024

Last updated

May 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mardosha Peek

Title

Ceo

Phone

(318) 751-7173

Specialties & licenses 3

Addresses

Other names 1

• Power Medical Solutions Former legal business name

Locations

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1861231664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 GUS THOMASSON RD STE 400",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505302",
            "telephone_number": "318-751-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 GUS THOMASSON RD STE 400",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505302",
            "telephone_number": "318-751-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREET OUTREACH HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "PEEK",
        "authorized_official_first_name": "MARDOSHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-751-7173"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Power Medical Solutions",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Janet F Strait, NP
• Stratford Hospital District (Caraday of Mesquite)
• Brianna Kristen Straughter
• Lotena J Strawther
• Kiara Streater
• Victor Strickland, DC
• Geetha Subramanian, M.D.
• Sullivan Chiropractic Centers, P.a. (Sullivan Chiropractic Center)
• Sandra Jane Sullivan, DC
• James Angelo Summa, M.D.

• Substance Abuse Rehabilitation Facility in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.