LUCKY ENTERPRISE (NPI# 1952620387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952620387 |
| Entity Type | Organization |
| Organization Name | LUCKY ENTERPRISE |
| Practice Address |
4510 Horizon Dr Garland TX 75043-1869 |
| Practice Telephone | 9723032800 |
| Practice Fax Number | 4694420647 |
| Mailing Telephone | 9723032800 |
| Mailing Fax Number | 4694420647 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MR. GEOFFREY NZEADIBE (OWNER) |
| Authorized Official Telephone | 9723032800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LUCKY ENTERPRISES LLC | 1115 Black Lake Blvd Sw Ste C, Olympia, WA 98502-1026 |
| Colorado Business Entities | Lucky Enterprises LLC | 26267 Conifer Rd Ste 201, Conifer, CO 80433-9132 |
| New York State Corporations | LUCKY ENTERPRISES OF BROOKLYN INC | 3839 Nostrand Ave, Brooklyn, New York 11235 |
| Colorado Business Entities | Lucky Enterprises, Inc | 16477 E. Hialeah Dr., Centennial, CO 80015 |
| Street Address |
4510 HORIZON DR |
| City | GARLAND |
| State | TX |
| Zip Code | 75043-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509672 | Hospice Angels, LLC. | Hospice Care, Community Based | 350 Oaks Trail, Suite # 201, Garland, TX 75043 | 2020-08-21 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
| 1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
| 1841740065 | Francesca Crye Anokwute | Nurse Practitioner | 4514 Grantham Drive, Garland, TX 75043 | 2016-10-12 |
| 1013394329 | Amber M Murphy | Dietitian, Registered | 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 | 2015-05-06 |
| 1811303266 | Saint Jude Hospice and Palliative Care LLC | Hospice Care, Community Based | 346 Oaks Trail #225, Garland, TX 75043 | 2014-07-07 |
| 1992149306 | Richard Shad Hattaway | Dentist | 6452 Broadway Boulevard, Garland, TX 75043 | 2013-04-29 |
| 1407106370 | Jennifer Frances Burtt | Physician Assistant | 545 Interstate 30 Frontage Rd, Mesquite, TX 75043 | 2012-09-18 |
| 1083991319 | Vidya Suri Dds Pa | Dentist | 6521 Duck Creek Dr, Garland, TX 75043 | 2011-11-15 |
| Find all providers in zip 75043 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262016 | Marilyn Personal Care Services, Inc. | Technician | 217 Havenwood Ln, Garland, TX 75043-8911 | 2019-12-10 |
| 1134687577 | Jj Primary Care Services Inc | Technician | 346 Oaks Trl Ste 200, Garland, TX 75043-4095 | 2019-03-05 |
| 1013472075 | Allsmiles Pa | Technician | 2106 Pecan Grove Dr, Garland, TX 75040-2876 | 2019-02-04 |
| 1275013385 | Destiny's Home Health Care LLC | Technician | 337 Oaks Trl Ste 104, Garland, TX 75043-8028 | 2018-08-17 |
| 1730680042 | Allison Claire Allbee | Technician | 3101 Annette Ct, Garland, TX 75044-2019 | 2018-02-22 |
| 1366942054 | Maria Celia Rodriguez | Technician | 717 Green Apple Dr, Garland, TX 75044-2565 | 2018-02-19 |
| 1730694258 | Dellene Alston | Technician | 329 Oaks Trl Ste 123, Garland, TX 75043-4082 | 2017-12-06 |
| 1750892451 | Tammie Tran | Technician | 2130 Windy Ridge Ln, Garland, TX 75044-7850 | 2017-10-20 |
| 1487178547 | Deepu Raveendran | Technician | 4430 Warbler Ln, Garland, TX 75043-7504 | 2017-07-31 |
| 1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
| Find all providers in GARLAND | ||||
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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.