Faith Assisted Living Group Home

LBN: Faith Assisted Living Group Home
Faith Assisted Living Group Home is an health care organization with primary practice located at 5201 Whitehave Dr , Garland TX 75043. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Secured Medical Transport (VAN). Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances is the primary health care specialty. Faith Assisted Living Group Home can be contacted via phone (817) 658-0722, or through Becke, Molua I via phone (817) 658-0722.

Contact Information

Primary practice address
5201 Whitehave Dr Garland TX 75043
Phone: (817) 658-0722
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Becke, Molua I
Phone: (817) 658-0722

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X 8067 Texas
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 658067 Texas
Transportation Services / Secured Medical Transport (VAN) 343800000X 24206663 Texas

Profile Details

NPI number 1083851125
LBN Legal business name Faith Assisted Living Group Home
DBA Doing business as Faith Assisted Living Group Home
Authorized official Becke, Molua I
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2009
Last updated Jan 12th, 2009 - about 15 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083851125 NPPES
Texas Other 8067 TRANSPOTATION

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