Novacare Connect LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

NOVACARE CONNECT LLC

Practice address

209 S Shady Shores Dr Ste 300-2004
Lake Dallas, TX 75065-2973

Phone

(940) 300-4858

NPI assigned

Oct 15, 2025

Organization subpart

No

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

Authorized official

Name

Zekiela Riley, RNNPI 1033086251

Title

Owner

Phone

(940) 300-4858

Specialties & licenses 5

Addresses

Other names 1

• Juicy Samurai Med Spa and Wellness Doing business as

Locations

Practitioners 1

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

• Zekiela Riley, RN

  • Registered Nurse
  • Lake Dallas, TX
  • NPI 1033086251
  NPD Authorized official

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1992671135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S SHADY SHORES DR STE 300-2004",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750652973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S SHADY SHORES DR STE 300-2004",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750652973",
            "telephone_number": "940-300-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACARE CONNECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "ZEKIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-300-4858",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Nutrition Support",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juicy Samurai Med Spa and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Dallas Isd
• Suzy Messinger, PTA
• Stephanie Mouser
• Sheillah Ncube
• Nalani M Newton, PTA
• Carla Dawn Ohara, MA, LPC
• Ondemand Mobile Lab
• One Reach LLC
• Jennifer S Painter, D.C.
• Terri Lynn Parker, LCSW, LCDC

• Medical Specialty Clinic/Center in Lake Dallas, TX
• Providers in Lake Dallas, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.