CAGNOLATTI AND HENDERSON INC.


Address: 1451 Empire Central Dr Ste 900, Dallas, TX 75247-4096
Phone: 4693606794

CAGNOLATTI AND HENDERSON INC. (NPI# 1609496488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609496488
Entity Type Organization
Organization Name CAGNOLATTI AND HENDERSON INC.
Practice Address 1451 Empire Central Dr Ste 900
Dallas
TX 75247-4096
Mailing Address 3543 Rio Grande Cir
Dallas
TX 75233-2553
Practice Telephone 4693606794
Enumeration Date 2020-04-21
Last Update Date 2020-04-21
Authorized Official Name LAKISHA HENDERSON (OWNER)
Authorized Official Telephone 4693606794
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX TX LICENSE 1000096 01

Other Provider/Organization Names

Other Name Type Code
Lifes Second Chance Treatment Center North Doing Business As Name - Organization

Office Location

Street Address 1451 EMPIRE CENTRAL DR STE 900
City DALLAS
State TX
Zip Code 75247-4096

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Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

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1497388730 Brand New Start Treatment Center- Paulding LLC Clinic/Center 311 Wi Pkwy, Suite 500, Dallas, GA 30327 2020-02-14
1821419201 Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr Clinic/Center 2615 S Lancaster Rd, Dallas, TX 75216-3112 2014-01-02

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1184036790 Mcet-waskom Limited Liability Company Clinic/Center 670 Spur 156, Waskom, TX 75692-9129 2014-06-02
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Competitor

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City DALLAS
Zip Code 75247

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Dataset Information

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.

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