OrganizationActive
Lakeridge Care Management
NPI 1659738623 · Case Management Agency · Grand Prairie, TX
Lakeridge Care Management is a Case Management Agency organization in Grand Prairie, TX (NPI 1659738623).
Provider details
- NPI number
- 1659738623
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Demetria Wallace, Director Case Management Program(866) 386-8404
Specialties & taxonomies
Agencies
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
2635 Villa Di Lago Unit 4
Grand Prairie, TX 75054-6630
Phone: (186) 638-6840
Fax: (866) 386-8404
Street-level locationGet directions
Mailing address
2635 Villa Di Lago Unit 4
Grand Prairie, TX 75054-6630
Registry dates
- Enumerated
- 2016-01-21
- Last updated
- 2016-01-21
Frequently asked questions
- What is Lakeridge Care Management's NPI number?
- Lakeridge Care Management's National Provider Identifier (NPI) is 1659738623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeridge Care Management?
- Lakeridge Care Management is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Lakeridge Care Management located?
- Lakeridge Care Management's practice location on file with NPPES is 2635 Villa Di Lago Unit 4, Grand Prairie, TX 75054-6630.
- What is Lakeridge Care Management's phone number?
- The practice phone number listed in the NPPES registry for Lakeridge Care Management is (186) 638-6840.
- Who is the authorized official for Lakeridge Care Management?
- The authorized official listed on Lakeridge Care Management's NPPES record is Demetria Wallace, Director Case Management Program. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeridge Care Management's NPI active?
- Yes — Lakeridge Care Management's NPI (1659738623) is active in the NPPES registry as of the last update on 2016-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.