METROCARE (NPI# 1811240013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811240013 |
| Entity Type | Organization |
| Organization Name | METROCARE |
| Practice Address |
4645 Samuell Blvd Dallas TX 75228-6826 |
| Mailing Address |
1380 River Bend Dr Dallas TX 75247-4914 |
| Practice Telephone | 2142757393 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | MRS. ROLANDA WILLIAMS (HUMAN RESOURCE) |
| Authorized Official Telephone | 2147436159 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
719220 | TX | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972872836 | Metrocare | Community Based Residential Treatment Facility, Mental Illness | 200 Greene Rd., Lancaster, TX 75146-1004 | 2011-12-22 |
| 1699021089 | Metrocare | Community/Behavioral Health | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2012-08-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | METROCARE MEDICAL P.C. | 2119 East 15th Street, Suite 3, Brooklyn, New York 11229 |
| Indiana Business Entities | METROCARE NATIONAL INC | 1815 Sw Marlow, Ste 210, Portland, OR 97225-5189 |
| New York State Corporations | METROCARE PHARMACY, INC. | 399 Knollwood Rd. Ste. 213, White Plains, New York 10603 |
| Street Address |
4645 SAMUELL BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75228-6826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720001118 | Kristen H Grable | Psychiatry & Neurology | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2006-07-26 |
| 1710587845 | Ijeoma Agolue | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2020-10-28 |
| 1144883414 | Trendolyn Desha Davis | Counselor | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2019-04-22 |
| 1659842987 | Caroline Moraa Tomlinson | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2018-12-16 |
| 1487122073 | Stanley Imoleayo Okeyemi | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2018-11-13 |
| 1720593981 | Kemi Fawehinmi | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2017-12-11 |
| 1689124125 | Latifat Adelekan-adeogun | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2016-10-07 |
| 1730554890 | Derica Perez | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2015-12-01 |
| 1396172631 | Raigina Lenette Preston | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2013-10-01 |
| 1801149968 | Erin Haytaian | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2012-10-25 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786793 | Nothing Just Happens Incorporated | Clinic/Center | 1618 Driftwood Dr, Dallas, TX 75224-3705 | 2017-05-05 |
| 1184054843 | Holman Family Services | Clinic/Center | 2705 Swiss Ave Ste 110, Dallas, TX 75204-5923 | 2013-11-17 |
| 1871735373 | Noelle K. Mcdonald, Ph.d. | Clinic/Center | 6350 Lyndon B Johnson Fwy Ste 151, Dallas, TX 75240-6408 | 2009-03-30 |
| 1225297633 | Hope Community Support | Clinic/Center | 1012d Philadelphia Church Rd, Dallas, NC 28034-7684 | 2008-06-02 |
| 1740477280 | Juliette Fowler Homes, Inc. | Clinic/Center | 1234 Abrams Rd, Dallas, TX 75214-4850 | 2007-09-28 |
| 1336266733 | Alexander Youth Network | Clinic/Center | 1904 Dallas Cherryville Hwy, Dallas, NC 28034-7706 | 2007-03-23 |
| 1023643947 | Creative Change Counseling | Clinic/Center | 10504 Bruton Rd, Dallas, TX 75217-3105 | 2020-03-11 |
| 1366082240 | Carbery Center for Child Development Pllc | Clinic/Center | 6060 N Central Expy Ste 222, Dallas, TX 75206-5318 | 2020-01-08 |
| 1528529625 | Empowered Maturity Pllc | Clinic/Center | 13355 Noel Rd Ste 1100, Dallas, TX 75240-6694 | 2019-03-29 |
| 1346705449 | Copenhagen Counseling, Pllc | Clinic/Center | 10300 N Central Expy Ste 280, Dallas, TX 75231-8666 | 2019-02-04 |
| 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.