Active NPIOrganization

A Roosevelt Residential Care

Assisted Living Facility in Dallas, Texas

NPI Number1962125302
Practice location
5117 Rocky Ridge RD, Dallas, TX 75241-1023
Fax
—
Last updated
September 21, 2022

A Roosevelt Residential Care is a healthcare organization based in Dallas, TX. The NPI number for A Roosevelt Residential Care is 1962125302. The current practice location address is 5117 Rocky Ridge RD, Dallas, TX 75241-1023 and the office can be reached by phone at 214-434-1583. The NPI was assigned on September 21, 2022 and the record was last updated in NPPES on September 21, 2022.

●Provider Profile Details

NPI Number
1962125302
Provider Name
A Roosevelt Residential Care
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Assisted Living Facility · 310400000X
Organization Subpart
No
Authorized Official
Glaster Wheeler Hicks · Owner/Manager · 214-850-8318
Enumeration Date
September 21, 2022
Last Update Date
September 21, 2022
Certification Date
September 19, 2022
NPI Status
Active
Other Names
A. Roosevelt Residential Care (Other Name)

◉Business Practice Location Address

Address
5117 Rocky Ridge RD
Dallas, TX 75241-1023
City
Dallas
State
Texas
ZIP
75241-1023
Country
US
Phone Number
214-434-1583

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✉Business Mailing Address

Address
Po Box 398706
Dallas, TX 75339-8706
City
Dallas
State
TX
ZIP
75339-8706
Phone Number
214-850-8318

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Assisted Living Facility310400000XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of A Roosevelt Residential Care?

The NPI number of A Roosevelt Residential Care is 1962125302. It was assigned on September 21, 2022 and is currently active in the NPPES registry.

What is the specialty of A Roosevelt Residential Care?

A Roosevelt Residential Care is registered under the primary taxonomy Assisted Living Facility (code 310400000X).

Where does A Roosevelt Residential Care practice?

The practice location is 5117 Rocky Ridge RD, Dallas, TX 75241-1023. The office can be reached at 214-434-1583 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962125302 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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