PRESTONWOOD ENCORE ADEC, LLC (NPI# 1083183065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083183065 |
Entity Type | Organization |
Organization Name | PRESTONWOOD ENCORE ADEC, LLC |
Practice Address |
6505 W Park Blvd Ste 116 Plano TX 75093-6210 |
Practice Telephone | 9724285400 |
Practice Fax Number | 9724285401 |
Mailing Telephone | 9724285400 |
Mailing Fax Number | 9724285401 |
Enumeration Date | 2018-11-19 |
Last Update Date | 2018-11-19 |
Authorized Official Name | CHRISTOPHER LESTER (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 9724285400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
Street Address |
6505 W PARK BLVD STE 116 |
City | PLANO |
State | TX |
Zip Code | 75093-6210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
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Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
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---|---|---|---|---|
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1912237405 | Sunray Activty Ad Healthcare Services, LLC | Clinic/Center | 1301 Custer Rd Ste 400, Plano, TX 75075-7400 | 2010-01-05 |
1982801932 | Svoboda, LLC | Clinic/Center | 4152 W. Spring Creek Pkwy., Suite 160, Plano, TX 75024 | 2007-07-02 |
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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.