A Roosevelt Residential Care
NPI 1962125302ActiveOrganization· Assisted Living Facility· Dallas, TX
Assisted Living Facility in Dallas, Texas, registered in NPPES in September 2022. The authorized official on file is Glaster Wheeler Hicks, Owner/Manager.
Overview
| NPI | 1962125302 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 21, 2022 |
| Last updated in NPPES | Sep 21, 2022 |
| Certified by provider | Sep 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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