National Provider Identifier Database

DOMINANT RESIDENCE LLC
Respite Care


Contact Information

DOMINANT RESIDENCE LLC
1428 MAC ARTHUR DR STE 101
CARROLLTON, TX75007-4437
Phone: 214-840-9157
Fax:
Website:
Specialty Taxonomy Code
* Respite Care 385H00000X
Private Vehicle 347C00000X
Train 347D00000X

* Indicates primary specialty

NPI Profile & details for DOMINANT RESIDENCE LLC

NPI Number 1366926297
Legal business name
LBN
DOMINANT RESIDENCE LLC
Authorized official TEMISAN SMART - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/17/2018
Last updated 02/21/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 75068

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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