DALLAS HOME FOR JEWISH AGED (NPI# 1790744159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790744159 |
| Entity Type | Organization |
| Organization Name | DALLAS HOME FOR JEWISH AGED |
| Other Organization Name | GOLDEN ACRES |
| Practice Address |
2525 Centerville Rd Dallas TX 75228-2634 |
| Mailing Address |
5100 Belt Line Rd Suite 430 Dallas TX 75254-7559 |
| Practice Telephone | 2143274503 |
| Practice Fax Number | 2143202683 |
| Mailing Telephone | 9724907251 |
| Mailing Fax Number | 9723871281 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL ELLENTUCK (PRESIDENT) |
| Authorized Official Telephone | 9724907251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 314000000X | Skilled Nursing Facility | 675081 | TX | Nursing & Custodial Care Facilities |
| X | 313M00000X | Nursing Facility/Intermediate Care Facility | TX | Nursing & Custodial Care Facilities | |
| X | 314000000X | Skilled Nursing Facility | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Golden Acres | Doing Business As Name - Organization |
| Street Address |
2525 CENTERVILLE RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75228-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942866405 | Stephanie Calderon | Physical Therapy Assistant | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2019-05-10 |
| 1083842876 | Eastland Memorial Hospital District | Skilled Nursing Facility | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2009-06-30 |
| 1205061041 | Thomas Randall Mcdonald Jr. | Physical Therapist | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2009-05-22 |
| 1750525507 | Jill Yvette Berry | Speech-Language Pathologist | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2009-04-23 |
| 1558519876 | Anne Veronica Valentine | Occupational Therapist | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2008-08-28 |
| 1821244120 | Shamia Louise White | Speech-Language Pathologist | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2008-08-18 |
| 1760638332 | Judith A Price | Speech-Language Pathologist | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2008-08-14 |
| 1790931475 | Jesse M Irby | Occupational Therapy Assistant | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2008-08-13 |
| 1699935577 | Madonna R Gardner | Occupational Therapist | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2008-06-13 |
| 1538328877 | Ronald J Tester | Physical Therapist | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2008-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1083905053 | R2j Investments LLC | Pharmacy | 6300 Samual Blvd, Ste #118, Dallas, TX 75228 | 2011-04-26 |
| 1376709493 | Rupen Suresh Amin | Family Medicine | 2360 Gus Thomasson Rd, Dallas, TX 75228 | 2008-07-29 |
| 1356512453 | Affirm Healthcare, LLC | Home Health | 10950 Woodmeadow Pkwy, #223, Dallas, TN 75228 | 2008-03-17 |
| 1629280110 | Shining Star Home Health Care Inc | Home Health | 8344 East R L Thronton Fwy, Ste # 203, Dallas, TX 75228 | 2007-05-04 |
| 1922123728 | Federico Maese | Family Medicine | 12601 E. Northwest Hwy, Dallas, TX 75228 | 2007-03-20 |
| 1578602223 | Rob F Smith | Social Worker | 8035 East R L Thornton Freeway, Suite #503, Dallas, TX 75228 | 2007-02-06 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1841376175 | Dana Ray Scott | Dentist | 2335 Gus Thomasson, Dallas, TX 75228 | 2006-10-30 |
| 1255425625 | Optimal Home Health Inc | Home Health | 8344 E R L Thornton Fwy Ste 214, Dallas, TX 75228 | 2006-10-03 |
| Find all providers in zip 75228 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on DALLAS HOME FOR JEWISH AGED.
| 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.