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1255287140

NPI Code Detail

MEDICARE: BESPOKE WELLNESS

MEDICARE: BESPOKE WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	177F00000X	Lodging Provider
2	251B00000X	Case Management Agency
3	251C00000X	Developmentally Disabled Services Day Training Agency
4	251E00000X	Home Health Agency
5	251G00000X	Community Based Hospice Care Agency
6	174200000X	Meals Provider
7	251S00000X	Community/Behavioral Health Agency
8	253J00000X	Foster Care Agency
9	305R00000X	Preferred Provider Organization
10	385H00000X	Respite Care
11	385HR2050X	Respite Care Camp
12	385HR2055X	Child Mental Illness Respite Care
13	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
14	405300000X	Prevention Professional
15	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1255287140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BESPOKE WELLNESS

Provider Business Mailing Address
First Line	:	1010 E PARKERVILLE RD
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-7100
Country	:	US
Telephone Number	:	214-356-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 E PARKERVILLE RD
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-7100
Country	:	US
Telephone Number	:	214-356-2020
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	KERENSA TAYLOR
Credential	:
Telephone Number	:	214-356-2020

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

Similar Medicare Providers

1629925334 — BESPOKE WELLNESS
Practice Location Address:

1010 E PARKERVILLE RD
CEDAR HILL, TX
75104-7100

Practice Phone: 214-937-1474
Practice Fax:

1891649794 — BESPOKE WELLNESS
Practice Location Address:

1010 E PARKERVILLE RD
CEDAR HILL, TX
75104-7100

Practice Phone: 214-356-2020
Practice Fax:

1457207342 — BESPOKE WELLNESS
Practice Location Address:

1010 E PARKERVILLE RD
CEDAR HILL, TX
75104-7100

Practice Phone: 214-937-1474
Practice Fax:

1629807441 — BESPOKEN WELLNESS PLLC
Practice Location Address:

1010 E PARKERVILLE RD
CEDAR HILL, TX
75104-7100

Practice Phone: 469-806-0857
Practice Fax:

1740009596 — BESPOKE WELLNESS
Practice Location Address:

1010 E PARKERVILLE RD
CEDAR HILL, TX
75104-7100

Practice Phone: 214-356-2020
Practice Fax:

1689855256 — MRS. JENNIFER RENEE AIMONE MS, OTR/L
Practice Location Address:

7100 PROCTOR HILL DR
RALEIGH, NC
27613-5206

Practice Phone: 919-395-1748
Practice Fax:

Directions to “BESPOKE WELLNESS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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