AMETHYST RESIDENTIAL SERVICES, INC. (NPI# 1477957405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477957405 |
| Entity Type | Organization |
| Organization Name | AMETHYST RESIDENTIAL SERVICES, INC. |
| Practice Address |
5863 Foxglove Ln Dallas TX 75249-1625 |
| Practice Telephone | 2145147970 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |
| Authorized Official Name | NARVA MILES (PRESIDENT) |
| Authorized Official Telephone | 2145147970 |
| 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 | Residential Treatment Facilities |
| Street Address |
5863 FOXGLOVE LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75249-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423783 | King Vision of Fort Worth | Hospice Care, Community Based | 5863 Foxglove Ln, Dallas, TX 75249-1625 | 2020-06-29 |
| 1356872410 | Robert Woodard | Licensed Vocational Nurse | 5863 Foxglove Ln, Dallas, TX 75249-1625 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376192823 | Jackie D Henderson | Residential Treatment Facility, Physical Disabilities | 7041 Hedgebrook Dr, Dallas, TX 75249 | 2019-09-07 |
| 1609311497 | Tiffany Burleson | Counselor | 5859 Foxglove Ln, Dallas, TX 75249 | 2017-01-03 |
| 1245613470 | Chaquita Gibson | Social Worker | 5637 Paladium Dr, Dallas, TX 75249 | 2015-07-07 |
| 1336566462 | Patrice Moreland | Physical Therapist | 8441 Romanway Drive, Dallas, TX 75249 | 2014-03-26 |
| 1861693392 | Daybreak Community Services | Home Health | 7153 Pineberry, Dallas, TX 75249 | 2007-05-31 |
| 1518381185 | Wal-mart Stores Texas, LLC | Technician/Technologist | 7075 W Wheatland Rd, Dallas, TX 75249-0000 | 2014-02-18 |
| 1467810911 | Total Dimensions Family Services, LLC | Case Management | 7328 Bayberry Ln, Dallas, TX 75249-1013 | 2016-01-29 |
| 1225499346 | Sylvia Clark | Case Manager/Care Coordinator | 7328 Bayberry Ln, Dallas, TX 75249-1013 | 2016-03-17 |
| 1548635030 | Whitney Wofford | Health Educator | 7450 Bayberry Ln, Dallas, TX 75249-1015 | 2015-12-09 |
| 1477080463 | Lady L Overshown | Counselor | 7430 Elderberry Ln, Dallas, TX 75249-1044 | 2017-05-22 |
| Find all providers in zip 75249 | ||||
| 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 |
| 1881948941 | A Place Like Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4703 Lomax Dr, Dallas, TX 75227-2708 | 2012-10-28 |
| 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.