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NEXPHASE HEALTHCARE LLC NPI 1497369474


NPI Information

NPI: 1497369474
Provider Name: NEXPHASE HEALTHCARE LLC

Former Legal Business Name: NEXPHASE HEALTHCARE LLC

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 45D2237309

Address:
1201 N WATSON RD STE 205
ARLINGTON, TX
ZIP 76006
Phone: (817) 500-7577
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NEXPHASE HEALTHCARE LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Arlington, 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. NEXPHASE HEALTHCARE LLC NPI is 1497369474. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Nexphase Healthcare Llc.

The provider's business location address is:

1201 N WATSON RD STE 205
ARLINGTON, TX
ZIP 76006-120
Phone: (817) 500-7577

The provider's authorized official is Loveline Nche .
The authorized official title is Owner and has the following contact phone number (817) 500-7577.

The CLIA number assigned to this NPI record is 45D2237309 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2020 and was last updated on 9/8/2020.


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 License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
185-2892674OTHERTEXASIRS

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: 5/5/2024

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