OrganizationActive
A New Kind Heart, LLC
NPI 1518550086 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Desoto, TX
Provider details
- NPI number
- 1518550086
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- David Edgerson, Executive Director(469) 377-0808
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1132 Versailles Ave.
Desoto, TX 75115
Phone: (469) 377-0808
Fax: (214) 884-8088
Street-level locationGet directions
Mailing address
1132 Versailles Ave.
Desoto, TX 75115
Other names (DBA / former)
- Doing business as
- A New Kind Heart
Registry dates
- Enumerated
- 2021-02-16
- Last updated
- 2021-03-19
- Certified
- 2021-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.