MEDICARE: HEAR OUR VOICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253J00000X	Foster Care Agency
2	3104A0630X	Assisted Living Facility (Behavioral Disturbances)
3	320800000X	Mental Illness Community Based Residential Treatment Facility
4	343900000X	Non-emergency Medical Transport (VAN)
5	385H00000X	Respite Care
6	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
7	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1356816656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAR OUR VOICES LLC

Provider Business Mailing Address
First Line	:	2804 ASHMONT WAY
Second Line	:
City	:	VENUS
State	:	TX
Zip	:	76084-3677
Country	:	US
Telephone Number	:	708-829-7453
Fax Number	:

Provider Business Practice Location Address
First Line	:	5727 HUNTERS BEND LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-2300
Country	:	US
Telephone Number	:	708-829-7453
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIM YVETTE JACKSON
Credential	:
Telephone Number	:	708-829-7453

Provider Enumeration Date	:	10/12/2018
Last Update Date	:	03/02/2023

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Directions to “HEAR OUR VOICES LLC ” Practice Location

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