Healthcare Provider Details

I. General information

NPI: 1003770025
Provider Name (Legal Business Name): JOHNSON'S GENTLE CARE HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 LAUREL LN
GLENN HEIGHTS TX
75154-7976
US

IV. Provider business mailing address

410 LAUREL LN
GLENN HEIGHTS TX
75154-7976
US

V. Phone/Fax

Practice location:
  • Phone: 817-404-7004
  • Fax: 214-291-5847
Mailing address:
  • Phone: 817-404-7004
  • Fax: 214-291-5847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TRISHANNA HARGROVE
Title or Position: OWNER
Credential:
Phone: 817-404-7004