JENNY'S RESIDENT GROUP CARE #3 (NPI# 1154539039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154539039 |
| Entity Type | Organization |
| Organization Name | JENNY'S RESIDENT GROUP CARE #3 |
| Practice Address |
808 W Red Bird Ln Dallas TX 75232-3120 |
| Mailing Address |
7306 Hardwood Trl Dallas TX 75249-1222 |
| Practice Telephone | 2143760309 |
| Mailing Telephone | 2143760309 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-09-01 |
| Authorized Official Name | MS. JENNIFER ELLIS (OWNER) |
| Authorized Official Telephone | 2143760309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 119225 | TX | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RESIDENTIAL GROUP CARE | 119225 | 01 |
| Street Address |
808 W RED BIRD LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75232-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705348 | Kimberly Mitchell | Technician | 5645 Elm Valley Ln, Dallas, TX 75232 | 2019-11-27 |
| 1457900607 | Jewelene Colbert | Technician | 1630 Oak Glen Trl., Dallas, TX 75232 | 2019-09-10 |
| 1700330032 | Ahad G Sheikh | Dentist | 4767 Vista Woods Blvd, Dallas, TX 75232 | 2016-08-03 |
| 1962881748 | Legacy Dental of Glen Oaks | Dentist | 4767 Vista Wood Blvd, Ste 110, Dallas, TX 75232 | 2015-05-26 |
| 1003234147 | Crystal Smith | Homeopath | 6923 Coleshire Dr, Dallas, TX 75232 | 2014-04-05 |
| 1356782098 | Sonja Lynette Shipp | Counselor | 5787 South Hampton Road, Suite 230-k, Dallas, TX 75232 | 2013-07-10 |
| 1073856233 | Heart To Heart Hospice of Dallas, LLC | Hospice Care, Community Based | 5787 S Hampton Rd Ste 430, Dallas, TX 75232 | 2013-04-05 |
| 1700131976 | Vivian Kay Thompson | Counselor | 5034 Haywood Pkwy, Dallas, TX - TEXAS 75232 | 2012-07-13 |
| 1821379819 | Cts - Cotton Traveling Service | Bus | 539 Meadow Health Lane, Dallas, TX 75232 | 2011-09-02 |
| 1467696781 | Faith Residential House Inc #1 | Exclusive Provider Organization | 6840 Brierfield Cir, Dallas, TX 75232 | 2009-04-30 |
| Find all providers in zip 75232 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467932178 | Hands of God Home & Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10729 Audelia Rd Ste 112, Dallas, TX 75238-1057 | 2018-08-21 |
| 1144768581 | Ms. Betty's Place, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 816 Green Cove Ln, Dallas, TX 75232-1638 | 2017-02-06 |
| 1003213331 | Nina Mason | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1330 Fordham Rd, Dallas, TX 75216-6219 | 2014-12-02 |
| 1720404338 | Sally Githaiga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11734 Ferguson Rd, Dallas, TX 75228-8202 | 2014-03-07 |
| 1376895029 | Loving Angels Home Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7272 Marvin D Love Fwy Apt 2411, Apt, Dallas, TX 75237-3169 | 2012-10-04 |
| 1588997712 | Lifespan Resources of Texas, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3918 S Denley Dr, Dallas, TX 75216-5617 | 2009-09-04 |
| 1821233404 | Promise Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5216 Ashbrook Rd, Dallas, TX 75227-1435 | 2008-12-10 |
| 1114123015 | Professional Care Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6327 Teague Dr, Dallas, TX 75241-4844 | 2007-06-26 |
| 1598969917 | Community Homes for Adults, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5959 Royal Ln, Suite 214, Dallas, TX 75230-3856 | 2007-06-11 |
| 1023557840 | A Destiny's Rose Hcs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1620 Glen Ave, Dallas, TX 75216 | 2017-02-13 |
| 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.