HOUSE OF MARY LOU HOME CARE SOLUTIONS LLC (NPI# 1023678943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023678943 |
| Entity Type | Organization |
| Organization Name | HOUSE OF MARY LOU HOME CARE SOLUTIONS LLC |
| Practice Address |
1522 Waweenoc Ave Dallas TX 75216-6312 |
| Mailing Address |
1010 Mystic Trl Cedar Hill TX 75104-3188 |
| Practice Telephone | 2142641201 |
| Mailing Telephone | 2142641201 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | KEONTAQUE ABRON (DIRECTOR PERSONAL CARE COORDINATOR) |
| Authorized Official Telephone | 2142641201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174200000X | Meals | Other Service Providers | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 251T00000X | PACE Provider Organization | Agencies | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| House of Mary Lou | Doing Business As Name - Organization |
| Street Address |
1522 WAWEENOC AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-6312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603390 | Allison A Roberts | Community/Behavioral Health | 8403 Midway Rd, Dallas, TX 75209-2835 | 2020-09-11 |
| 1033736582 | Jomarv Inc | Community/Behavioral Health | 326 E 12th St, Dallas, TX 75203-2606 | 2020-07-01 |
| 1578189940 | Your Discovery Place Inc | Community/Behavioral Health | 3155 S Lancaster Rd Ste 200, Dallas, TX 75216-4586 | 2020-06-22 |
| 1205459062 | Trinity Counseling and Wellness Services | Community/Behavioral Health | 1910 Pacific Ave Ste 14160, Dallas, TX 75201-4753 | 2020-05-27 |
| 1437799350 | Ayuda Health Partners, LLC | Community/Behavioral Health | 2600 Cole Ave Apt 408, Dallas, TX 75204-4023 | 2020-01-08 |
| 1780242214 | Precision Behavioral Health Services, LLC | Community/Behavioral Health | 14100 Montfort Dr, Ste 1236, Dallas, TX 75254-3021 | 2019-05-30 |
| 1508328287 | New Hope Counseling Agency | Community/Behavioral Health | 4311 Belmont Ave Ste 105, Dallas, TX 75204-3032 | 2019-04-02 |
| 1669938544 | Patricia Ann Smith | Community/Behavioral Health | 385 Victoria Heights Dr, Dallas, GA 30132-9276 | 2019-02-14 |
| 1639657976 | Job Sterling | Community/Behavioral Health | 1409 N Zang Blvd Apt 218, Dallas, TX 75203-1203 | 2018-07-30 |
| 1063900090 | Paul Kehinde Aremu | Community/Behavioral Health | 9830 Paramount Ave, Dallas, TX 75217-3762 | 2018-04-25 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.