INFINITY HCS GROUP HOME INC. (NPI# 1518327766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518327766 |
Entity Type | Organization |
Organization Name | INFINITY HCS GROUP HOME INC. |
Other Organization Name | INFINITY HCS GROUP HOME INC. |
Practice Address |
1915 Heather Glen Dr Dallas TX 75232-2313 |
Practice Telephone | 2146775221 |
Practice Fax Number | 2143306194 |
Mailing Telephone | 2146775221 |
Mailing Fax Number | 2143306194 |
Enumeration Date | 2016-03-01 |
Last Update Date | 2016-03-01 |
Authorized Official Name | MS. ODILE CATHERINE BLEDSOE (DIRECTOR) |
Authorized Official Telephone | 2146775221 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Infinity HCS Group Home Inc. | Doing Business As Name - Organization |
Street Address |
1915 HEATHER GLEN DR |
City | DALLAS |
State | TX |
Zip Code | 75232-2313 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841428596 | Odile C Bledsoe | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1915 Heather Glen Dr, Dallas, TX 75232-2313 | 2009-07-01 |
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 |
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Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
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1467595827 | Turtle Creek Manor, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2707 Routh St, Dallas, TX 75201-1927 | 2007-02-15 |
1649358433 | Community Based Alternatives for Youth | Community Based Residential Treatment Facility, Mental Illness | 815 Limerick Drive, Dallas, NC 28034-9420 | 2006-11-01 |
1003061987 | Fir Hill Group Home LLC | Community Based Residential Treatment Facility, Mental Illness | 1487 Main St, Dallas, OR 97338-2520 | 2008-11-19 |
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1073098075 | Expert Living Services Inc | Community Based Residential Treatment Facility, Mental Illness | 17014 Blue Mist Dr, Sugar Land, TX 77498-1957 | 2018-09-26 |
1760961734 | Sharion Lenese White | Community Based Residential Treatment Facility, Mental Illness | 12514 Berry Laurel Lane, Houston, TX 77014 | 2018-08-10 |
1356837934 | X'zavier O Payne | Community Based Residential Treatment Facility, Mental Illness | 420 N State Highway 360 Apt 2214, Mansfield, TX 76063-8716 | 2018-07-06 |
1972003192 | Ateam & Associates, LLC | Community Based Residential Treatment Facility, Mental Illness | 7 Supiro Dr, Manvel, TX 77578-3378 | 2018-02-14 |
1891234134 | Graceland Personal Care Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 2625 County Road 302, Carthage, TX 75633-4103 | 2017-02-20 |
1427591494 | Mia Davis | Community Based Residential Treatment Facility, Mental Illness | 5903 Grace Ln, Houston, TX 77021-3424 | 2016-11-23 |
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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.