Provider Demographics
NPI:1497434443
Name:RICHARDSON SERVICES LLC
Entity Type:Organization
Organization Name:RICHARDSON SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-210-5093
Mailing Address - Street 1:3419 WESTMINSTER AVE # 1013
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-1387
Mailing Address - Country:US
Mailing Address - Phone:972-210-5093
Mailing Address - Fax:
Practice Address - Street 1:3419 WESTMINSTER AVE # 1013
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-1387
Practice Address - Country:US
Practice Address - Phone:972-210-5093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)