SANDY HARRIS (NPI# 1336341338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336341338 |
| Entity Type | Organization |
| Organization Name | SANDY HARRIS |
| Other Organization Name | COMMUNITY CARE SOLUTIONS |
| Practice Address |
1604 Vida Ct Dallas TX 75253-4832 |
| Practice Telephone | 9722863665 |
| Practice Fax Number | 9722862289 |
| Mailing Telephone | 9722863665 |
| Mailing Fax Number | 9722862289 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SANDY HARRIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9722863665 |
| Authorized Official Credential | RN,BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | TX | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Community Care Solutions | Doing Business As Name - Organization |
| Street Address |
1604 VIDA CT |
| City | DALLAS |
| State | TX |
| Zip Code | 75253-4832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356873236 | Sandy Harris | Case Manager/Care Coordinator | 1604 Vida Ct, Dallas, TX 75253-4832 | 2017-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507809 | Anita Ann Rutherford | Counselor | 14900 Lasater Rd Tr 236, Dallas, TX 75253 | 2020-08-04 |
| 1780296814 | Caleb Colon | Specialist/Technologist, Other | 11936 Ravenview Rd, Dallas, TX 75253-2923 | 2020-08-19 |
| 1386932770 | Malakia Owens | Student in an Organized Health Care Education/Training Program | 1019 Valdez Dr, Dallas, TX 75253-3037 | 2011-07-19 |
| 1376833814 | Denise C Smith | Counselor | 12224 Rim Rock Rd, United States, Dallas, TX 75253-3041 | 2011-04-18 |
| 1407288467 | Shondon Lashon Stoker | Foster Care Agency | 12248 China Lake Dr, Dallas, TX 75253-3045 | 2013-08-01 |
| 1578982849 | Sharel Sullivan | Custodial Care Facility | 12248 China Lake Dr, Dallas, TX 75253-3045 | 2014-04-15 |
| 1023217676 | Star Medical D.m.e | Durable Medical Equipment & Medical Supplies | 2305 Denmark St, Dallas, TX 75253-3716 | 2007-07-13 |
| 1518457431 | Amy Yerby | Licensed Vocational Nurse | 12415 Kleberg Rd, Dallas, TX 75253-3750 | 2018-05-16 |
| 1942824511 | Kellie Garcia | Counselor | 2850 S Belt Line Rd Trlr 181, Dallas, TX 75253-4653 | 2020-05-29 |
| 1952878571 | Florence Eriken | Registered Nurse | 2817 Spanish Bay Dr, Dallas, TX 75253-4681 | 2018-11-01 |
| Find all providers in zip 75253 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770107831 | American Roses Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6330 S Lancaster Rd, Dallas, TX 75241-3800 | 2020-06-04 |
| 1841839727 | Bellview Advocacy Project LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14606 Dallas Pkwy Apt 1111, Dallas, TX 75254-7451 | 2019-12-25 |
| 1740832021 | Brittany Dory | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8004 W Virginia Dr Apt 908, Dallas, TX 75237-4425 | 2019-07-16 |
| 1235621368 | Infinite Hope Hcs, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4650 S Hampton Rd Ste 11, Dallas, TX 75232-1066 | 2018-06-04 |
| 1295246916 | Camilla Medina | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1315 Amos St, Dallas, TX 75212-5202 | 2017-10-20 |
| 1619351665 | Kimberly Hutchings | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9670 Forest Ln Apt 1109, Dallas, TX 75243-8639 | 2015-07-18 |
| 1346620259 | Sherry Clark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7030 Capella Park Ave, Dallas, TX 75236-3003 | 2015-06-05 |
| 1710377726 | U-niq Identity | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 917 Fordham Rd, Dallas, TX 75216-6133 | 2015-01-28 |
| 1356747554 | A Su Lado Co. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Main St Apt 202, Dallas, TX 75202-4300 | 2014-11-15 |
| 1477957405 | Amethyst Residential Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5863 Foxglove Ln, Dallas, TX 75249-1625 | 2014-10-20 |
| 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.