DALLAS COUNTY HOSPITAL DISTRICT (NPI# 1417255233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417255233 |
| Entity Type | Organization |
| Organization Name | DALLAS COUNTY HOSPITAL DISTRICT |
| Other Organization Name | CANTON OAKS |
| Practice Address |
1901 S Trade Days Blvd Canton TX 75103 |
| Mailing Address |
920 Ridgebrook Rd Sparks MD 21152-9390 |
| Practice Telephone | 9035670444 |
| Practice Fax Number | 9035670445 |
| Mailing Telephone | 4107731000 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | FREDERICK CERISE (CEO) |
| Authorized Official Telephone | 2145908006 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001019566 | 05 |
| Other Name | Type Code |
|---|---|
| Canton Oaks | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042784 | Dallas County Hospital District | Clinic/Center | 1341 W Mockingbird Ln Ste 300e, Dallas, TX 75247-4935 | 2020-04-23 |
| 1679108302 | Dallas County Hospital District | Pediatrics | 601 Clara Barton Blvd Fl 2, Garland, TX 75042-5738 | 2020-03-03 |
| 1619508728 | Dallas County Hospital District | Clinic/Center | 4201 Brook Spring Dr Bldg 2, Dallas, TX 75224-4968 | 2020-01-28 |
| 1356852784 | Dallas County Hospital District | Nurse Practitioner | 1822 Young St, Dallas, TX 75201-5612 | 2017-10-12 |
| 1770972572 | Dallas County Hospital District | Skilled Nursing Facility | 7021 Bryant Irvin Rd, Fort Worth, TX 76132-4243 | 2015-01-15 |
| 1659641199 | Dallas County Hospital District | Pharmacy | 2121 Butler St, Dallas, TX 75235-7801 | 2011-12-30 |
| 1215206826 | Dallas County Hospital District | Skilled Nursing Facility | 3511 Corinth Parkway, Corinth, TX 76208-5384 | 2011-12-28 |
| 1346550654 | Dallas County Hospital District | Skilled Nursing Facility | 2450 Bickers St., Dallas, TX 75212-1507 | 2010-10-20 |
| 1700193588 | Dallas County Hospital District | Skilled Nursing Facility | 3505 S Buckner Blvd, Building 5, Dallas, TX 75227-5534 | 2010-09-01 |
| 1023339900 | Dallas County Hospital District | Skilled Nursing Facility | 561 Ridgecrest Rd, Forney, TX 75126-0146 | 2010-06-15 |
| Street Address |
1901 S TRADE DAYS BLVD |
| City | CANTON |
| State | TX |
| Zip Code | 75103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265095202 | Brandi Jo Foster | Nurse Practitioner | 4437 Etheride Circle, Canton, TX 75103 | 2019-04-16 |
| 1124595087 | Melissa Williams | Nurse Practitioner | 1108 So. Buffalo St, Canton, TX 75103 | 2018-10-30 |
| 1295218667 | Jennifer Elaine Moore | Registered Nurse | 185 Vz Cr 2103, Canton, TX 75103 | 2018-09-12 |
| 1568945921 | Kelsey Lauren Nixon | Registered Nurse | 5640 Vzcr 4106, Canton, TX 75103 | 2018-09-12 |
| 1649770496 | Chelsea Boshart | Registered Nurse | 150 Vz Cr 4130, Canton, TX 75103 | 2018-02-19 |
| 1396292918 | Deanne Wheeler | Hearing Instrument Specialist | 150 E. Dallas Street, Canton, TX 75103 | 2016-09-01 |
| 1356701221 | Betsy Jill Chappell | Nurse Practitioner | 406 Tx-243, Canton, TX 75103 | 2016-03-04 |
| 1326435199 | Forever Kids Pediatric Clinic | Clinic/Center | 182 Privatet Road 6413, Canton, TX 75103 | 2015-04-20 |
| 1922243906 | Brookshire Grocery Company | Pharmacy | 880 E State Highway 243, Canton, TX 75103 | 2008-12-05 |
| 1285833533 | Sondra J Mahoney | Counselor | 1343 Vz Cr 4414, Canton, TX 75103 | 2007-07-17 |
| Find all providers in zip 75103 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700370640 | 3660 Greentree Leasing, LLC | Skilled Nursing Facility | 3660 Greentree Ave Sw, Canton, OH 44706-4024 | 2018-06-14 |
| 1851881825 | House of Loreto for Senior Citizens | Skilled Nursing Facility | 2812 Harvard Ave Nw, Canton, OH 44709-3155 | 2018-05-15 |
| 1316491905 | The Lodge At New Dawn, Inc. | Skilled Nursing Facility | 3660 Greentree Avenue, Sw, Canton, OH 44706-4024 | 2016-08-11 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1336532522 | Newton Healthcare Center | Skilled Nursing Facility | 14 Capen Pl, Canton, MA 02021-3648 | 2015-03-11 |
| 1508987272 | Ssc Canton Operating Company LLC | Skilled Nursing Facility | 150 Hospital Cir, Canton, GA 30114-3209 | 2007-04-02 |
| 1750431391 | Madison County Nursing Home | Skilled Nursing Facility | 1421a E Peace St, Canton, MS 39046-4938 | 2007-01-12 |
| 1225101819 | Amicus Health Care Services, Inc. | Skilled Nursing Facility | 2026 Vzcr 2205, Canton, TX 75103 | 2006-11-15 |
| 1306917869 | Canton Care, LLC | Skilled Nursing Facility | 2714 13th St Nw, Canton, OH 44708-3121 | 2006-11-13 |
| 1134216310 | Thi of Texas At Canton, LLC | Skilled Nursing Facility | 901 W College St, Canton, TX 75103-1105 | 2006-10-07 |
| Find all providers in CANTON | ||||
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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.