Organization · NPI-2
Bespoke Wellness
Community Health Worker · Cedar Hill, TX
NPI number1255287140
StatusActive
Last updated in NPPESMar 24, 2026
Details
- NPI
- 1255287140
- Entity type
- Organization (NPI-2)
- Legal business name
- Bespoke Wellness
- Organization subpart
- No
- Enumeration date
- Mar 5, 2026
- Certification date
- Mar 24, 2026
- Last updated
- Mar 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 251E00000X | Home Health | – | – | |
| 385HR2050X | Respite Care, Respite Care Camp | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 251B00000X | Case Management | – | – | |
| 305R00000X | Preferred Provider Organization | – | – | |
| 251G00000X | Hospice Care, Community Based | – | – | |
| 253J00000X | Foster Care Agency | – | – | |
| 177F00000X | Lodging | – | – | |
| 385H00000X | Respite Care | – | – | |
| 405300000X | Prevention Professional | – | – | |
| 385HR2055X | Respite Care, Respite Care, Mental Illness, Child | – | – | |
| 174200000X | Meals | – | – |
Practice location
1010 E Parkerville RdCedar Hill, TX 75104-7100
Phone 214-356-2020
Mailing address
1010 E Parkerville RdCedar Hill, TX 75104-7100
Phone 214-356-2020
Authorized official
Kerensa Taylor
Program Director
2143562020
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