<Unavail>

LBN: Dominant Residence Llc
<Unavail> is an health care organization with primary practice located at 1428 Mac Arthur Dr Ste 101 , Carrollton TX 75007-4437. The organization recently has 3 registered licenses in different health care specialties including Transportation Services / Private Vehicle, Transportation Services / Train, Respite Care Facility / Respite Care. Respite Care Facility / Respite Care is the primary health care specialty. Dominant Residence Llc can be contacted via phone (214) 840-9157, or through Smart, Temisan via phone (214) 840-9157.

Contact Information

Primary practice address
1428 Mac Arthur Dr Ste 101 Carrollton TX 75007-4437
Phone: (214) 840-9157
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smart, Temisan
Phone: (214) 840-9157

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X
Transportation Services / Train 347D00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1366926297
LBN Legal business name Dominant Residence Llc
DBA Doing business as <Unavail>
Authorized official Smart, Temisan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2018
Last updated Feb 21st, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366926297 NPPES
Texas MEDICAID 75068

Popular Providers