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ST. NICHOLAS OPERATIONS LLC NPI 1841558582


NPI Information

NPI: 1841558582
Provider Name: ST. NICHOLAS OPERATIONS LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4612 HEATHERBROOK DR
DALLAS, TX
ZIP 75244
Phone: (713) 271-7777
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ST. NICHOLAS OPERATIONS LLC 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. ST. NICHOLAS OPERATIONS LLC NPI is 1841558582. The provider is registered as an organization entity type.

The provider's business location address is:

4612 HEATHERBROOK DR
DALLAS, TX
ZIP 75244-634
Phone: (713) 271-7777
Fax: (713) 271-8585

The provider's authorized official is John Benjamin Peakes .
The authorized official title is Manager and has the following contact phone number (713) 271-7777.

The enumeration date for this NPI number is 5/1/2012 and was last updated on 5/1/2012.


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

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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