Lacinder Roseann King-Fulton, PROGRAM DIRECTOR

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Practice address

5787 S Hampton Rd Ste 203
Dallas, TX 75232-2255

Phone

(469) 478-0573

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Impressions Residential Care, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Dallas, TX
  • NPI 1215537717

  Custodial Care Facility

  NPD Authorized official

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1942826318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5787 S HAMPTON RD STE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752322255",
            "telephone_number": "469-478-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5787 S HAMPTON RD STE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752322255",
            "telephone_number": "469-478-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-FULTON",
        "first_name": "LACINDER",
        "middle_name": "ROSEANN",
        "name_prefix": "Mrs.",
        "credential": "PROGRAM DIRECTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wayne Kines, RN MSN FNPC
• King Dental Partners PLLC
• King Medical Group PA
• King Ministriez
• King Vision of Fort Worth LLC
• Michelle Denise King-Thompson, LCSW
• Abigail Faith King
• Ada Marie King
• Alexandria King
• Amanda King, OTR

• Custodial Care Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Custodial Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.