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Contact Information

DOMINANT RESIDENCE LLC
1428 MAC ARTHUR DR STE 101
CARROLLTON, TX75007-4437
 Phone: 214-840-9157
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Respite Care

385H00000X
 

Private Vehicle

347C00000X
 

Train

347D00000X
Indicates primary specialty

NPI Profile & details for DOMINANT RESIDENCE LLC

NPI # 1366926297
LBN Legal business name DOMINANT RESIDENCE LLC
Authorized official TEMISAN SMART - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/17/2018
Last updated 02/21/2025 - More than a year ago
Identifiers
TX Medicaid 75068
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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