GOLDEN GATE ADULT REHABILITATION MINISTRY (NPI# 1164043196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164043196 |
| Entity Type | Organization |
| Organization Name | GOLDEN GATE ADULT REHABILITATION MINISTRY |
| Practice Address |
1128 Reverend Cbt Smith St Dallas TX 75203-1536 |
| Practice Telephone | 2149435010 |
| Mailing Telephone | 2149435010 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | OBIE BUSSEY (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 2149435010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Adult Rehabilitation Ministries (ARM) | Doing Business As Name - Organization |
| Street Address |
1128 REVEREND CBT SMITH ST |
| City | DALLAS |
| State | TX |
| Zip Code | 75203-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
| 1902303183 | Sarah Mcferon | Nurse Practitioner | 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 | 2018-04-12 |
| 1659727030 | Kathy Lightsey | Counselor | 1836 Berwick Ave, Dall, TX 75203 | 2016-05-04 |
| 1659712453 | Maura M Mcglynn | Occupational Therapist | 1520 North Beckley Ave 1033, Dallas, TX 75203 | 2013-07-10 |
| 1093153454 | Adrienne Workman | Internal Medicine | 1441 North Beckley Avenue, Dallas, TX 75203 | 2013-06-07 |
| 1851642490 | April Rebecca Meras | Nurse Practitioner | 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 | 2012-09-22 |
| 1699081612 | East Run Management, Ltd. Company | Alzheimer Center (Dementia Center) | 2653 Cedar Crest Blvd, Dallas, TX 75203 | 2010-08-27 |
| 1538471305 | Preetivi Ellis | Internal Medicine | 1441 N Beckley Ave Fl 4, Dallas, TX 75203 | 2010-07-09 |
| 1306085378 | Maggie Fardella | Counselor | 201 E 9th St, Dallas, TX 75203 | 2009-02-13 |
| 1811159122 | Maryam Raza Md Pa | Internal Medicine | 1441 N. Beckley, Dallas, TX 75203 | 2008-06-27 |
| Find all providers in zip 75203 | ||||
| Taxonomy Code | 261QR0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Recovery Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720591647 | Faith Recovery Treatment Center | Clinic/Center | 3024 Mahanna Springs Dr Apt D, Dallas, TX 75235-8735 | 2017-11-14 |
| 1043413966 | Osage Diagnostics | Clinic/Center | 9262 Forest Ln, Ste. 101b, Dallas, TX 75243-4207 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063994044 | Namaste Recovery Management LLC | Clinic/Center | 912 Glenda Dr, Bedford, TX 76022-7019 | 2018-09-05 |
| 1528264652 | Sanker International, Inc. | Clinic/Center | 106 S Old Betsy Rd Ste A, Keene, TX 76059-2466 | 2007-06-25 |
Please comment or provide details below to improve the information on GOLDEN GATE ADULT REHABILITATION MINISTRY.
| 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.