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NPI 1093194383ActiveOrganization· Custodial Care Facility· Dallas, TX
Custodial Care Facility in Dallas, Texas, registered in NPPES in May 2015. The authorized official on file is Detra Thomas, Owner.
Overview
| NPI | 1093194383 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 20, 2015 |
| Last updated in NPPES | May 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | — | — |
| In Home Supportive Care | 253Z00000X | — | — |
| Assisted Living Facility | 310400000X | — | — |
| Custodial Care Facility, Adult Care Home | 311ZA0620X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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