MEDICARE: LOVING CARING COZY HAVEN INC

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1992638076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING CARING COZY HAVEN INC

Provider Business Mailing Address
First Line	:	1120 BORDEAUX AVE
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-4800
Country	:	US
Telephone Number	:	469-309-9388
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 BORDEAUX AVE
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-4800
Country	:	US
Telephone Number	:	469-309-9388
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	TANYA JACKSON
Credential	:
Telephone Number	:	469-309-9388

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

Similar Medicare Providers

1972457067 — LOVING CARING COZY HAVEN INC
Practice Location Address:

1120 BORDEAUX AVE
DESOTO, TX
75115-4800

Practice Phone: 214-957-1267
Practice Fax:

1053243170 — CHIAMAKA AMANDA ORIZU
Practice Location Address:

935 YORK DR
DESOTO, TX
75115-2043

Practice Phone: 930-232-4376
Practice Fax:

1497537286 — LATURA SCHEXNAYDER
Practice Location Address:

628 VANILLA CT
DESOTO, TX
75115-1491

Practice Phone: 972-900-5440
Practice Fax:

1770417107 — GOLDEN INSIGHTS THERAPY LLC
Practice Location Address:

628 VANILLA CT # 213
DESOTO, TX
75115-1491

Practice Phone: 972-900-5440
Practice Fax:

1033043252 — MS. RAYS BIZZNESS LLC
Practice Location Address:

1472 N HAMPTON RD STE 102
DESOTO, TX
75115-3001

Practice Phone: 469-844-8418
Practice Fax:

1669304218 — MR. KEVIN ANTON WOODS SR.
Practice Location Address:

150 DALTON DR
DESOTO, TX
75115-4412

Practice Phone: 469-552-5064
Practice Fax:

Directions to “LOVING CARING COZY HAVEN INC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.