OrganizationActive
Novacare Connect LLC
NPI 1992671135 · Medical Specialty Clinic/Center · Lake Dallas, TX
Provider details
- NPI number
- 1992671135
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Zekiela Riley, Owner(940) 300-4858
Specialties & taxonomies
Ambulatory Health Care Facilities
- Home Health Agency251E00000X
Agencies
- Nutrition Support Registered Nurse163WN1003X
Nursing Service Providers
- Registered Nurse163W00000X
Nursing Service Providers
- Nursing Care Agency251J00000X
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
209 S Shady Shores Dr Ste 300-2004
Lake Dallas, TX 75065-2973
Phone: (940) 300-4858
Street-level locationGet directions
Mailing address
209 S Shady Shores Dr Ste 300-2004
Lake Dallas, TX 75065-2973
Other names (DBA / former)
- Doing business as
- Juicy Samurai Med Spa and Wellness
Registry dates
- Enumerated
- 2025-10-15
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.