Provider Demographics
NPI:1225232671
Name:SPLENDOR HILLS INCORPORATED
Entity Type:Organization
Organization Name:SPLENDOR HILLS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDOLO
Authorized Official - Middle Name:O
Authorized Official - Last Name:AZENABOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-262-6400
Mailing Address - Street 1:2306 OAK LN STE 206
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-8270
Mailing Address - Country:US
Mailing Address - Phone:972-262-6400
Mailing Address - Fax:972-262-6544
Practice Address - Street 1:2306 OAK LN STE 206
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-8270
Practice Address - Country:US
Practice Address - Phone:972-262-6400
Practice Address - Fax:972-262-6544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Multi-Specialty
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Multi-Specialty