Active NPI
Eudaemonia Congenial Care LLC
- Health Service Clinic/Center
- Dallas, TX
National Provider Identifier
1982463683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- EUDAEMONIA CONGENIAL CARE LLC
- Practice address
- 12222 Merit Dr Ste 130
Dallas, TX 75251-3236 - Phone
- (214) 709-1321
- NPI assigned
- Mar 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Roland
- Title
- (Manager)
- Phone
- (214) 709-1321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
12222 Merit Dr Ste 130
Dallas, TX 75251-3236
Mailing address
5473 Blair Rd Ste 100
PMB 416396
Dallas, TX 75231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Plano, TX
- NPI 1851399240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721952000000",
"number": "1982463683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5473 BLAIR RD STE 100",
"address_2": "PMB 416396",
"city": "DALLAS",
"state": "TX",
"postal_code": "75231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12222 MERIT DR STE 130",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513236",
"telephone_number": "214-709-1321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUDAEMONIA CONGENIAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-15",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A",
"authorized_official_last_name": "ROLAND",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "(MANAGER)",
"authorized_official_telephone_number": "214-709-1321"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.