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ILLEE HEALTHCARE SERVICES LLC
NPI 1497453831
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dallas, TX

Active since February 15, 2023
1910 PACIFIC AVE STE 11500, DALLAS, TX 75201(240) 646-4794 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illee Healthcare Services Llc NPPES

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

ILLEE HEALTHCARE SERVICES LLC (NPI 1497453831) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Dallas, Texas and active in the NPI registry since February 2023. The organization lists Kamdem James Manga, Manager, as its authorized official.

NPPES Registry Identity

NPI1497453831
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameILLEE HEALTHCARE SERVICES LLC
Location Address1910 PACIFIC AVE STE 11500Dallas, TX 75201-4559
Mailing Address1910 Pacific Ave Ste 11500Dallas, TX 75201-4559 · (240) 646-4794
Phone(240) 646-4794
Organization SubpartNo
Authorized OfficialKamdem James MangaManager · (240) 646-4794
Enumeration DateFebruary 15, 2023
NPPES CertifiedFebruary 15, 2023
✔ NPI 1497453831 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.
1910 PACIFIC AVE STE 11500, Dallas, TX 75201
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAMDEM JAMES MANGA
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1910 PACIFIC AVE STE 11500
DALLAS, TX 75201
Dallas County (240) 646-4794

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 Illee Healthcare Services LLC's NPI number?

The NPI number for Illee Healthcare Services LLC is 1497453831. It was assigned to this organization in the NPPES registry on February 15, 2023.

Where is Illee Healthcare Services LLC located?

Illee Healthcare Services LLC is located at 1910 Pacific Ave Ste 11500, Dallas, TX 75201. The listed phone number is (240) 646-4794.

What is Illee Healthcare Services LLC'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 Illee Healthcare Services LLC was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.