MS. NEDRA JOHNSON NPI 1265941512

NPI Information

NPI: 1265941512
Provider Name: MS. NEDRA JOHNSON
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
5409 N JIM MILLER RD STE 211
DALLAS, TX
ZIP 75227
Phone: (214) 280-0379
Get Directions

MS. Nedra Johnson is a community based residential treatment facility, intellectual and/or developmental disabilities in Dallas, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MS. Nedra Johnson NPI is 1265941512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5409 N JIM MILLER RD STE 211
DALLAS, TX
ZIP 75227-523
Phone: (214) 280-0379
Fax: (214) 817-2571

The enumeration date for this NPI number is 9/28/2017 and was last updated on 1/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	171M00000X	Case Manager/Care Coordinator		No
2	172A00000X	Driver		No
3	2472R0900X	Technician, Other	Renal Dialysis	No
4	251C00000X	Day Training, Developmentally Disabled Services		No
5	251E00000X	Home Health		No
6	251T00000X	Program of All-Inclusive Care for the Elderly (PACE) Provider Organization		No
7	251V00000X	Voluntary or Charitable		No
8	253J00000X	Foster Care Agency		No
9	261QA0600X	Clinic/Center	Adult Day Care	No
10	332U00000X	Home Delivered Meals		No
11	342000000X	Transportation Network Company		No
12	347C00000X	Private Vehicle		No
13	372600000X	Adult Companion		No
14	374U00000X	Home Health Aide		No
15	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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