NPIMap

Organization Active NPI

D&S Residential Services, LP

Doing business as Tridens Trail

  • Intellectual Disabilities Intermediate Care Facility
  • Odessa, TX
National Provider Identifier
1962618637
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
001014273 Issued in TX
Legal business name
D&S RESIDENTIAL SERVICES, LP
Doing business as
Tridens Trail
Practice address
10036 West Westland Drive
Odessa, TX 79764
Phone
(432) 381-0741
Fax
(512) 327-5355
NPI assigned
May 16, 2007
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
D&S RESIDENTIAL HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Mary Patricia Rodenberg-Roberts
Title
VP & Sr Asst General Counsel
Phone
(952) 836-2234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 001014273 TX Primary

Addresses

Primary practice location

10036 West Westland Drive
Odessa, TX 79764

Mailing address

8911 North Capital of Texas Highway
Building 1, Suite 1300
Austin, TX 78759-7203
Phone (512) 327-2325

Other identifiers 1

IdentifierTypeStateIssuer
001014273MedicaidTX

Other names 1

  • Tridens Trail Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DS Residential Services LP77 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1962618637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 NORTH CAPITAL OF TEXAS HIGHWAY",
            "address_2": "BUILDING 1, SUITE 1300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597203",
            "telephone_number": "512-327-2325",
            "fax_number": "512-263-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10036 WEST WESTLAND DRIVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79764",
            "telephone_number": "432-381-0741",
            "fax_number": "512-327-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&S RESIDENTIAL SERVICES, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D&S RESIDENTIAL HOLDINGS, LLC",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "RODENBERG-ROBERTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "VP & SR ASST GENERAL COUNSEL",
        "authorized_official_telephone_number": "952-836-2234"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "001014273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014273",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tridens Trail",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.