MEDICARE: 1983 CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311Z00000X	Custodial Care Facility

General Provider Information

NPI Number	:	1487582375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1983 CARE

Provider Business Mailing Address
First Line	:	1959 ELDERLEAF DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-3305
Country	:	US
Telephone Number	:	469-258-9214
Fax Number	:

Provider Business Practice Location Address
First Line	:	1126 DEERWOOD DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-3820
Country	:	US
Telephone Number	:	469-258-9214
Fax Number	:	469-258-9214

Authorized Official
Title or Position	:	OWNER
Name	:	GEORGE W ANDERSON
Credential	:
Telephone Number	:	469-258-9214

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/15/2026

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