Healthcare Provider Details
I. General information
NPI: 1801478912
Provider Name (Legal Business Name): ALTRUISTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2021
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 DATA DR # D
PLANO TX
75075-7806
US
IV. Provider business mailing address
10672 BAUCUM RD
WAXAHACHIE TX
75167-7606
US
V. Phone/Fax
- Phone: 214-301-1143
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QD1600X |
| Taxonomy | Developmental Disabilities Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 373H00000X |
| Taxonomy | Day Training/Habilitation Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMANDA
G
ZRILE
Title or Position: PRESIDENT
Credential:
Phone: 817-793-2304