NPI Index

MS. NEDRA JOHNSON

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Active Individual
NPI: 1265941512

Practice Address

5409 N JIM MILLER RD STE 211
Dallas, TX 75227

Phone: (214) 280-0379

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Driver 172A00000X No -
Technician, Other - Renal Dialysis 2472R0900X No -
Day Training, Developmentally Disabled Services 251C00000X No -
Home Health 251E00000X No -
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X No -
Voluntary or Charitable 251V00000X No -
Foster Care Agency 253J00000X No -
Clinic/Center - Adult Day Care 261QA0600X No -
Home Delivered Meals 332U00000X No -
Transportation Network Company 342000000X No -
Private Vehicle 347C00000X No -
Adult Companion 372600000X No -
Home Health Aide 374U00000X No -
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X Yes -

Frequently Asked Questions

NPI 1265941512 is the National Provider Identifier for MS. NEDRA JOHNSON, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Dallas, TX. This NPI was enumerated on September 28, 2017.
MS. NEDRA JOHNSON practices at 5409 N JIM MILLER RD STE 211, Dallas, TX 75227.

Quick Facts

NPI
1265941512
Type
Individual
Enumerated
Sep 28, 2017
Last Updated
Jan 13, 2023

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