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MEDALLION
NPI 1750503892
Assisted Living Facility in Dallas, TX

Active since May 02, 2007
12400 PRESTON ROAD, DALLAS, TX 75230(972) 661-3111(503) 485-1279 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medallion NPPES

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

MEDALLION (NPI 1750503892) is a healthcare organization registered as an assisted living facility in Dallas, Texas and active in the NPI registry since May 2007. The organization lists Jon Harder, President, as its authorized official.

NPPES Registry Identity

NPI1750503892
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMEDALLION
Location Address12400 PRESTON ROADDallas, TX 75230
Mailing AddressPo Box 3006Salem, OR 97302 · (503) 485-8697 · Fax (503) 485-1279
Phone(972) 661-3111
Fax(503) 485-1279
Organization SubpartNo
Authorized OfficialJon HarderPresident · (503) 485-8697
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1750503892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
12400 PRESTON ROAD, Dallas, TX 75230
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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 Medallion's NPI number?

The NPI number for Medallion is 1750503892. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Medallion located?

Medallion is located at 12400 Preston Road, Dallas, TX 75230. The listed phone number is (972) 661-3111.

What is Medallion's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Medallion was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.