Streams of Joy Residential Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STREAMS OF JOY RESIDENTIAL HOME LLC

Practice address

2622 Maple Leaf Dr
Midlothian, TX 76065-1730

Phone

(682) 203-3070

Fax

(817) 459-1224

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Esther E Eregie

Title

Manager

Phone

(682) 203-3070

Specialties & licenses 1

Addresses

Other names 1

• STREAMS OF JOY RESIDENTIAL HOME LLC Former legal business name

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1962235333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 MAPLE LEAF DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760651730",
            "telephone_number": "682-203-3070",
            "fax_number": "817-459-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 MAPLE LEAF DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760651730",
            "telephone_number": "682-203-3070",
            "fax_number": "817-459-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREAMS OF JOY RESIDENTIAL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "EREGIE",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "682-203-3070"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STREAMS OF JOY RESIDENTIAL HOME LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kristin Stelzer, LPC-ASSOCIATE
• Jerica Stepter, D.C.
• Shirley Annette Stewart-Wilson
• Jaymi L Stivason, DMD
• Ashley Stokes
• Maria Renela Gambito Suller, M.D.
• Rachell Alissia Sullivan
• Amanda Swanberg, RN, CEN, EMT-B
• Kimberly Karla Sweet, M.D.
• Hanna Sword

• Assisted Living Facility in Midlothian, TX
• Providers in Midlothian, 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 Aug 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.