Dallas Nursing Home LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DALLAS NURSING HOME LLC

Doing business as

Golden Acres

Practice address

2525 Centerville Rd
Dallas, TX 75228-2634

Phone

(214) 327-4503

Fax

(214) 320-2683

NPI assigned

Aug 1, 2007

Last updated

Aug 1, 2007By 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

Mr. Robert A Conner

Title

Member

Phone

(610) 832-2059

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GOLDEN ACRES Doing business as

Locations

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1902096241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 PLYMOUTH RD",
            "address_2": "SUITE 412",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621641",
            "telephone_number": "610-832-2059",
            "fax_number": "610-834-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CENTERVILLE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752282634",
            "telephone_number": "214-327-4503",
            "fax_number": "214-320-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-832-2059",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER (SNF)",
            "identifier": "675081",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN ACRES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.