FAITH ASSISTED LIVING GROUP HOME NPI 1083851125

NPI Information

  • NPI: 1083851125
  • Provider Name: FAITH ASSISTED LIVING GROUP HOME
  • Classification: Assisted Living Facility - 3104A0630X
  • Specialization: Assisted Living, Behavioral Disturbances
  • Entity Type: Organization
  • Doing Business As: FAITH ASSISTED LIVING GROUP HOME
  • Address: 5201 WHITEHAVE DR
    GARLAND, TX
    ZIP 75043
  • Phone: (817) 658-0722

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NPI Details

FAITH ASSISTED LIVING GROUP HOME is an assisted living and behavioral disturbances assisted living facility in Garland, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. FAITH ASSISTED LIVING GROUP HOME NPI is 1083851125. The provider is registered as an organization entity type.
The provider Is Doing Business As Faith Assisted Living Group Home.

The provider's business location address is:

5201 WHITEHAVE DR
GARLAND, TX
ZIP 75043
Phone: (817) 658-0722

The provider's authorized official is Molua I Becke .
The authorized official title is Director Of Adminitration and has the following contact phone number (817) 658-0722.

The enumeration date for this NPI number is 1/12/2009 and was last updated on 1/12/2009.

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 Disabilities658067TEXASNo
2343800000XSecured Medical Transport (VAN)24206663TEXASNo
33104A0630XAssisted Living FacilityAssisted Living, Behavioral Disturbances8067TEXASYes

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
18067OTHERTEXASTRANSPOTATION
28067MEDICARE UPINTEXAS

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: 3/30/2025

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