AT THE HAND OF JESUS MINISTRIES NPI 1063999704

NPI Information

NPI: 1063999704
Provider Name: AT THE HAND OF JESUS MINISTRIES
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2315 VOLGA AVE
DALLAS, TX
ZIP 75216
Phone: (682) 704-1926
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AT THE HAND OF JESUS MINISTRIES is a community based residential treatment facility mental illness in Dallas, TX. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. AT THE HAND OF JESUS MINISTRIES NPI is 1063999704. The provider is registered as an organization entity type.

The provider's business location address is:

2315 VOLGA AVE
DALLAS, TX
ZIP 75216-762
Phone: (682) 704-1926

The provider's authorized official is Holly Lamon Adams .
The authorized official title is Administrator and has the following contact phone number (682) 704-1926.

The enumeration date for this NPI number is 7/25/2018 and was last updated on 12/10/2019.

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	177F00000X	Lodging		No
2	251B00000X	Case Management		No
3	251C00000X	Day Training, Developmentally Disabled Services		No
4	251E00000X	Home Health		No
5	261QA0600X	Clinic/Center	Adult Day Care	No
6	310400000X	Assisted Living Facility		No
7	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
8	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
9	320800000X	Community Based Residential Treatment Facility, Mental Illness		Yes
10	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
11	343900000X	Non-emergency Medical Transport (VAN)		No
12	253J00000X	Foster Care Agency		No
13	253Z00000X	In Home Supportive Care		No
14	174200000X	Meals		No
15	251S00000X	Community/Behavioral Health		No

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
1	453596615	MEDICAID	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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