Organization
PNB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEDRA DARDEN HHSC (OWNER)
(469) 921-8292
Entity
Organization
Contact information
Practice address
9319 HAVENCOVE DR, DALLAS, TX 75227-8107
(469) 921-8292
Mailing address
9319 HAVENCOVE DR OFC, DALLAS, TX 75227-8107
(469) 921-8292
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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