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A ROOSEVELT RESIDENTIAL CARE
NPI 1962125302
Assisted Living Facility in Dallas, TX

Active since September 21, 2022
5117 ROCKY RIDGE RD, DALLAS, TX 75241(214) 434-1583 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About A Roosevelt Residential Care NPPES

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

A ROOSEVELT RESIDENTIAL CARE (NPI 1962125302) is a healthcare organization registered as an assisted living facility in Dallas, Texas and active in the NPI registry since September 2022. The organization lists Glaster Wheeler Hicks, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1962125302
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameA ROOSEVELT RESIDENTIAL CARE
Location Address5117 ROCKY RIDGE RDDallas, TX 75241-1023
Mailing AddressPo Box 398706Dallas, TX 75339-8706 · (214) 850-8318
Phone(214) 434-1583
Organization SubpartNo
Authorized OfficialGlaster Wheeler HicksOwner/manager · (214) 850-8318
Enumeration DateSeptember 21, 2022
NPPES CertifiedSeptember 19, 2022
✔ NPI 1962125302 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.
5117 ROCKY RIDGE RD, Dallas, TX 75241
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Other Names 1

Other NameA. Roosevelt Residential Care

Other Providers at the Same Location NPPES

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

MR. GLASTER WHEELER HICKS
Assisted Living Facility
5117 ROCKY RIDGE RD
DALLAS, TX 75241
Dallas County (214) 434-1583

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 A Roosevelt Residential Care's NPI number?

The NPI number for A Roosevelt Residential Care is 1962125302. It was assigned to this organization in the NPPES registry on September 21, 2022. The provider is also known as A. Roosevelt Residential Care.

Where is A Roosevelt Residential Care located?

A Roosevelt Residential Care is located at 5117 Rocky Ridge Rd, Dallas, TX 75241. The listed phone number is (214) 434-1583.

What is A Roosevelt Residential Care'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 A Roosevelt Residential Care was last updated on September 21, 2022. 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.