# PRESBYTERIAN VILLAGE NORTH FOREFRONT LIVING

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOREFRONT LIVING
- **Other names:** Presbyterian Village North Special Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417069444
- **Legal business name:** FOREFRONT LIVING
- **Authorized official:** KAREN KIMBERLY JOHNSON-COOK RN (CORPORATE COMPLIANCE DIRECTOR)
- **Authorized official phone:** (214) 413-1566

## Contact information

- **Practice address:** 8600 SKYLINE DR, DALLAS, TX 75243-4198
- **Practice address phone:** (214) 355-9000
- **Practice address fax:** (214) 355-9079
- **Mailing address:** 8600 SKYLINE DR, DALLAS, TX 75243-4198
- **Mailing address phone:** (214) 355-9019
- **Mailing address fax:** (214) 355-9050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 000295 | TX | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 45D0481417 | CLIA | TX |