MEDICARE: ILANAS RECOVERY AND CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251G00000X	Community Based Hospice Care Agency
3	310400000X	Assisted Living Facility
4	3104A0625X	Assisted Living Facility (Mental Illness)
5	3104A0630X	Assisted Living Facility (Behavioral Disturbances)
6	310500000X	Mental Illness Intermediate Care Facility
7	311500000X	Alzheimer Center (Dementia Center)
8	315D00000X	Inpatient Hospice
9	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
10	323P00000X	Psychiatric Residential Treatment Facility
11	324500000X	Substance Abuse Rehabilitation Facility
12	3245S0500X	Children's Substance Abuse Rehabilitation Facility
13	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number	:	1447026836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ILANAS RECOVERY AND CARE

Provider Business Mailing Address
First Line	:	9535 FOREST LN STE 119
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-6120
Country	:	US
Telephone Number	:	214-306-3362
Fax Number	:

Provider Business Practice Location Address
First Line	:	9535 FOREST LN STE 119
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-6120
Country	:	US
Telephone Number	:	214-306-3362
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FEVEN YIFRU
Credential	:
Telephone Number	:	214-306-3362

Provider Enumeration Date	:	11/28/2023
Last Update Date	:	11/28/2023

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Directions to “ILANAS RECOVERY AND CARE ” Practice Location

Language	Start Address	Practice Location

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