DALLAS COUNTY HOSPITAL DISTRICT (NPI# 1700193588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700193588 |
| Entity Type | Organization |
| Organization Name | DALLAS COUNTY HOSPITAL DISTRICT |
| Other Organization Name | BRENTWOOD PLACE FOUR |
| Practice Address |
3505 S Buckner Blvd Building 5 Dallas TX 75227-5534 |
| Mailing Address |
5200 Harry Hines Blvd Dallas TX 75235-7709 |
| Practice Telephone | 2143811815 |
| Mailing Telephone | 2145908006 |
| Mailing Fax Number | 2145908096 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2018-11-16 |
| Authorized Official Name | FREDERICK P CERISE (CEO) |
| Authorized Official Telephone | 2145908006 |
| Authorized Official Credential | M.D. |
| 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 | 001026677 | 05 |
| Other Name | Type Code |
|---|---|
| Brentwood Place Four | 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 |
| 1417255233 | Dallas County Hospital District | Skilled Nursing Facility | 1901 S Trade Days Blvd, Canton, TX 75103 | 2011-03-02 |
| 1346550654 | Dallas County Hospital District | Skilled Nursing Facility | 2450 Bickers St., Dallas, TX 75212-1507 | 2010-10-20 |
| 1023339900 | Dallas County Hospital District | Skilled Nursing Facility | 561 Ridgecrest Rd, Forney, TX 75126-0146 | 2010-06-15 |
| Street Address |
3505 S BUCKNER BLVD BUILDING 5 |
| City | DALLAS |
| State | TX |
| Zip Code | 75227-5534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285114355 | Onyinyechukwu Isioma Odum | Occupational Therapist | 3505 S Buckner Blvd, Dallas, TX 75227-5451 | 2018-08-17 |
| 1861826893 | Auhb Primary Care Pa | Family Medicine | 3505 S Buckner Blvd, Dallas, TX 75227-5451 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760855464 | Narges S Afkami | Chiropractor | 4808 S. Buckner Blvd., Dallas, TX 75227 | 2015-11-04 |
| 1780902809 | Zachary Thomas Ripp | Obstetrics & Gynecology | 2959 S. Buckner Ste 100, Mi Doctor/ Women's Specialty Center, Dallas, TX 75227 | 2010-05-13 |
| 1386884922 | Valentino L Gonzales | Counselor | 5409 Jim Miller Rd, Suite 203a, Dallas, TX 75227 | 2009-02-23 |
| 1093951733 | Kofo A Aderemi | Durable Medical Equipment & Medical Supplies | 4617 S. Buckner Blvd., Suite J, Dallas, TX 75227 | 2008-12-31 |
| 1619146727 | Faith Assisted Living, LLC | Assisted Living Facility | 2155 Gaylord Dr, Dallas, TX 75227 | 2008-02-22 |
| 1619159241 | Epic Business Solutions | Durable Medical Equipment & Medical Supplies | 4801 South Buckner Blvd., Suite 1300, Dallas, TX 75227 | 2007-12-05 |
| 1356553838 | Cox Adult Foster Home | Custodial Care Facility | 8717 Blossom Lane, Dallas, TX 75227 | 2007-05-04 |
| 1386866903 | Injury Assistance C Enters, Inc. | Chiropractor | 2514 S. Buckner Blvd., Dallas, TX 75227 | 2007-05-03 |
| 1083836613 | Fiesta Pharmacy | Pharmacist | 2947 S Buckner Suite 500, Dallas, TX 75227 | 2007-05-03 |
| 1720164346 | Joe R Gosham | Dentist | 2222 Prairie Creek Rd, Dallas, TX 75227 | 2006-10-27 |
| Find all providers in zip 75227 | ||||
| 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 |
|---|---|---|---|---|
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1508325275 | Buckner Senior Living, Inc. | Skilled Nursing Facility | One Ventana Way, 8301 N Central Expressway, Dallas, TX 75225 | 2019-03-13 |
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1740710094 | Adora 9 Operations, LLC | Skilled Nursing Facility | 8130 Meadow Road, Dallas, TX 75231 | 2017-06-19 |
| 1962891523 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 3505 S Buckner Blvd Bldg 5, Dallas, TX 75227-5451 | 2015-01-20 |
| 1346678398 | The Rehabilitation & Wellness Centre of Dallas, LLC | Skilled Nursing Facility | 4200 Live Oak St, Dallas, TX 75204-6733 | 2013-10-29 |
| 1639428972 | Riverwood Healthcare LLC | Skilled Nursing Facility | 9009 Forest Lane, Dallas, TX 75243 | 2012-08-31 |
| 1013265446 | Remarkable Healthcare of Dallas, Lp | Skilled Nursing Facility | 3350 Bonnie View Road, Dallas, TX 75216 | 2012-08-15 |
| 1558620633 | Highland Springs, Inc | Skilled Nursing Facility | 7910 Frankford Rd, Attn: Extended Care Administrator, Dallas, TX 75252-6865 | 2012-05-10 |
| 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.