Provider Demographics
NPI: | 1053078394 |
---|---|
Name: | D&S RESIDENTIAL SERVICES, LP |
Entity Type: | Organization |
Organization Name: | D&S RESIDENTIAL SERVICES, LP |
Other - Org Name: | D&S COMMUNITY SERVICES |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | COO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BRETT |
Authorized Official - Middle Name: | IAN |
Authorized Official - Last Name: | COHEN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 800-388-5150 |
Mailing Address - Street 1: | 8911 N CAPITAL OF TEXAS HWY STE 1300 |
Mailing Address - Street 2: | |
Mailing Address - City: | AUSTIN |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78759-7203 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 512-327-2325 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 126 LETTON DR |
Practice Address - Street 2: | |
Practice Address - City: | DANVILLE |
Practice Address - State: | KY |
Practice Address - Zip Code: | 40422-9389 |
Practice Address - Country: | US |
Practice Address - Phone: | 859-236-5400 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | D&S RESIDENTIAL HOLDINGS, LLC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2021-11-22 |
Last Update Date: | 2023-03-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities |