Dallas County Hospital District

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

DALLAS COUNTY HOSPITAL DISTRICT

Practice address

5300 University Hills Blvd Ste 400
Dallas, TX 75241-1219

Phone

(214) 590-0153

NPI assigned

Dec 7, 2021

Organization subpart

No

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

Authorized official

Name

Frederick Cerise

Title

President and Ceo

Phone

(214) 590-8006

Specialties & licenses 1

Addresses

Other names 1

• Dallas Deflection Center - Homeward Bound Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Federally qualified health center certification: CCN 451879

Legal name

DALLAS COUNTY HOSPITAL DISTRICT

Doing business as

DALLAS DEFLECTION CENTER-HOMEWARD BOUND

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 27, 2023

Last certification

Jan 27, 2023

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Enrollment address

5300 University Hills Blvd
Ste 400
Dallas, TX 75241-1219

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Dallas County Hospital Dist95 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

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

• Dallas County Hospital District

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1891367579
  NPD tax ID
• Dallas County Hospital District

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1891738050
  NPD tax ID
• Dallas County Hospital District

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1902401458
  NPD tax ID
• Dallas County Hospital District

  • Ambulatory Family Planning Facility
  • Dallas, TX
  • NPI 1912074287
  NPD tax ID
• Dallas County Hospital District

  • Clinic Pharmacy
  • Dallas, TX
  • NPI 1932230836
  NPD tax ID
• Dallas County Hospital District

  • Clinic Pharmacy
  • Dallas, TX
  • NPI 1932779220
  NPD tax ID
• Dallas County Hospital District

  • Skilled Nursing Facility
  • Dallas, TX
  • NPI 1942600838
  NPD tax ID
• Dallas County Hospital District

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1952345613
  NPD tax ID
• Dallas County Hospital District

  • Skilled Nursing Facility
  • Dallas, TX
  • NPI 1962802850
  NPD tax ID
• Dallas County Hospital District

  • Skilled Nursing Facility
  • Richardson, TX
  • NPI 1972566867
  NPD tax ID
• Dallas County Hospital District

  • Skilled Nursing Facility
  • Plano, TX
  • NPI 1982235412
  NPD tax ID
• Lew Sterrett Justice Center Pharmacy

  • Pharmacy
  • Dallas, TX
  • NPI 1871925982
  NPD tax ID

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 41

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roberto M. Vendrell, MD

  • Gastroenterology Physician
  • Guaynabo, PR
  • NPI 1407830250
  NPD (past)
• Virenda D Wood, MD

  • Pediatrics Physician
  • Eden Prairie, MN
  • NPI 1851375174
  NPD (past)

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1992463871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660599",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 UNIVERSITY HILLS BLVD STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752411219",
            "telephone_number": "214-590-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "CERISE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "214-590-8006"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Deflection Center - Homeward Bound",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dallas County Hospital District
• Dallas County Hospital District
• Dallas County Hospital District
• Dallas County Hospital District
• Dallas County Hospital District
• Dallas County Juvenile Department
• Dallas County Mental Health & Mental Retardation Center
• Dallas County Mental Health & Mental Retardation Center
• Dallas County Mental Health & Mental Retardation Center
• Dallas County Mental Health & Mental Retardation Center

• Federally Qualified Health Center (FQHC) in Dallas, TX
• Providers in Dallas, TX by specialty
• Federally Qualified Health Center (FQHC) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.