DOMINANT RESIDENCE LLC – NPI #1366926297
Respite Care

DOMINANT RESIDENCE LLC is a respite care facility located in CARROLLTON, TX. NPPES has assigned the NPI number 1366926297 to DOMINANT RESIDENCE LLC on September 17, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 385H00000X from the Health Care Provider Taxonomy code set, which is classified as Respite Care.

The NPI profile was last updated on Feb 21, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DOMINANT RESIDENCE LLC below.

NPI Profile for
DOMINANT RESIDENCE LLC

NPI Number
1366926297
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DOMINANT RESIDENCE LLC
Primary location
1428 MAC ARTHUR DR STE 101
CARROLLTON, TX 75007-4437
Phone: (214) 840-9157 Fax:
1 Other location(s):
1212 Rivers Creek Ln
Little Elm, TX 75068-2907
Phone: (214) 840-9157
Mailing address
1212 RIVERS CREEK LN
LITTLE ELM, TX 75068-2907
Phone: Fax:
Organization Subpart
No
Authorized Official
TEMISAN SMART
OWNER
Phone: (214) 840-9157
Updated
Certification Date
Feb 21, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DOMINANT RESIDENCE LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTX75068
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
385H00000X
- Respite Care (Primary)
347D00000X
- Train
347C00000X
- Private Vehicle

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.