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CAMILLA MEDINA
NPI 1295246916
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dallas, TX

Active since October 20, 2017
1315 AMOS ST, DALLAS, TX 75212(214) 773-2879 Get Directions Write a Review

NPPES record last updated: October 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Camilla Medina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMILLA MEDINA (NPI 1295246916) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Dallas, Texas and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1295246916
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameCAMILLA MEDINA
Location Address1315 AMOS STDallas, TX 75212-5202
Mailing Address1315 Amos StDallas, TX 75212-5202 · (214) 773-2879
Phone(214) 773-2879
Sole ProprietorYes
Enumeration DateOctober 20, 2017
✔ NPI 1295246916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1315 AMOS ST, Dallas, TX 75212
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camilla Medina's NPI number?

The NPI number for Camilla Medina is 1295246916. It was assigned to this individual provider in the NPPES registry on October 20, 2017.

Where is Camilla Medina located?

Camilla Medina practices at 1315 Amos St, Dallas, TX 75212. The listed phone number is (214) 773-2879.

What is Camilla Medina's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Camilla Medina was last updated on October 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.