THE SPECIAL NEEDS ACTIVITY CENTER (NPI# 1619508025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619508025 |
| Entity Type | Organization |
| Organization Name | THE SPECIAL NEEDS ACTIVITY CENTER |
| Practice Address |
3911 S Lancaster Rd Ste 100 Dallas TX 75216-5682 |
| Practice Telephone | 4692165269 |
| Mailing Telephone | 4692165269 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | ERIC L FULLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4692165269 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 347E00000X | Transportation Broker | Transportation Services | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 305S00000X | Point of Service | Managed Care Organizations | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Other Name | Type Code |
|---|---|
| The Special Needs Activity Center | Doing Business As Name - Organization |
| Street Address |
3911 S LANCASTER RD STE 100 |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-5682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384121 | Texas Agapecare, LLC | Day Training, Developmentally Disabled Services | 2211 N Lamar St Ste 225, Dallas, TX 75202-1005 | 2020-10-17 |
| 1568961555 | Rufus C Hardy Jr. | Day Training, Developmentally Disabled Services | 1714 Dolores Way, Dallas, TX 75232-4244 | 2018-02-06 |
| 1265941512 | Nedra Johnson | Day Training, Developmentally Disabled Services | 5049 Urban Ave, Dallas, TX 75227-2776 | 2017-09-28 |
| 1255889499 | Burch Adult Daycare Center LLC | Day Training, Developmentally Disabled Services | 2627 Exeter Ave, Dallas, TX 75216-6505 | 2016-09-16 |
| 1508226754 | 1st Choice Day Hab | Day Training, Developmentally Disabled Services | 4210 S Westmoreland Rd, Dallas, TX 75233-3720 | 2016-03-01 |
| 1346566783 | Natasha Moneque Davenport | Day Training, Developmentally Disabled Services | 2220 Swansee Dr, Dallas, TX 75232-1422 | 2010-04-09 |
| 1790015824 | Le'fevre Personal Care Homes, Inc. | Day Training, Developmentally Disabled Services | 1175 Old Harris Rd, Apt. 1013, Dallas, GA 30157-8253 | 2010-01-12 |
| 1124352281 | Church of The Living God Pgt | Day Training, Developmentally Disabled Services | 2610 E Ledbetter Dr, 2610 E Ledbetter Drive, Dallas, TX 75216-7404 | 2009-09-22 |
| 1700040045 | The Wesley Place | Day Training, Developmentally Disabled Services | 2200 E Ledbetter Dr, Dallas, TX 75216-7408 | 2008-07-16 |
| 1548449689 | Citizens Development Center | Day Training, Developmentally Disabled Services | 8800 Ambassador Row, Dallas, TX 75247-4621 | 2007-10-25 |
| 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.