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NPI 1124704622

NPI 1124704622 : FOUNDATIONS SENIOR SERVICE INC : MCKINNEY, TX

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General NPI Number Information
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    NPI Number           |    1124704622
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    Entity Type          |    Organization 
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    Legal Business Name  |    FOUNDATIONS SENIOR SERVICE INC 
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Dates
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    Enumeration Date     |    06/27/2023
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    Last Update Date     |    02/09/2026
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Provider Practice Location Address
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    Address Line         |    2150 S CENTRAL EXPY 
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    City                 |    MCKINNEY
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    State                |    TX
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    Zip                  |    75070-4070
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    Country              |    US
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    Telephone            |    945-218-5693
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    Fax                  |    945-218-5539
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Provider Business Mailing Address
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    Address Line         |    1403 COUNTY ROAD 4115 
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    City                 |    CAMPBELL
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    State                |    TX
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    Zip                  |    75422-1869
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    Country              |    US
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    Telephone            |    945-218-5693
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     SEAIRRA  WILLIAMS 
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    Credential           |    
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    Telephone            |    945-218-5693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0400X
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    Taxonomy Name        |    Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    251F00000X
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    Taxonomy Name        |    Home Infusion Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    225C00000X
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    Taxonomy Name        |    Rehabilitation Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #14
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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