EMERITUS AT PRESTON
NPI 1427465442
Assisted Living Facility in Dallas, TX

Active since July 22, 2014CLIA 45D2102997 · Waiver
12400 PRESTON RD, DALLAS, TX 75230(972) 661-3111 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility
  • CLIA Number: 45D2102997
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 10-01-2027

About EMERITUS AT PRESTON

This page provides the complete NPI Profile along with additional information for Emeritus At Preston, a provider established in Dallas, Texas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1427465442 assigned on July 2014. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Emeritus At Preston. The authorized official of this NPI record is Mark Ohlendorf (Cfo)

NPI
1427465442 Verify this NPI
Provider Legal Name
S-H OPCO PRESTON, LLC
Other Organization Name
EMERITUS AT PRESTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12400 PRESTON RD DALLAS, TX 75230
Location Phone
(972) 661-3111
Mailing Address
6737 W WASHINGTON ST SUITE 2300 MILWAUKEE, WI 53214
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2014
Last Update Date
07-22-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK OHLENDORF

Authorized Official Title
CFO
Authorized Official Phone
(414) 918-5000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2102997
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
October 02, 2025
Certificate Expiration Date
October 01, 2027
Laboratory Director
SHANI SHASTRI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Emeritus At Preston to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EMERITUS AT PRESTON

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Rehabilitation)
12400 PRESTON RD
DALLAS, TX 75230
Physical Therapy Assistant
12400 PRESTON RD
DALLAS, TX 75230
Occupational Therapy Assistant
12400 PRESTON RD
DALLAS, TX 75230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427465442, enumerated as an "organization" on July 22, 2014.

The provider is located at 12400 PRESTON RD DALLAS, TX 75230 and the phone number is (972) 661-3111.

Assisted Living Facility with taxonomy code 310400000X.