Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeridge Care Management

Organization Case Management Agency · NPI 1659738623

Lakeridge Care Management is a Case Management Agency in Grand Prairie, Texas. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

2635 Villa Di Lago Unit 4
Grand Prairie, TX 75054-6630
Phone: (186) 638-6840
Fax: (866) 386-8404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1659738623
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Demetria Wallace — Director Case Management Program · (866) 386-8404
NPI enumeratedJanuary 21, 2016
Last updated in NPPESJanuary 21, 2016
Mailing address2635 Villa Di Lago Unit 4, Grand Prairie, TX 75054-6630

Other providers in Grand Prairie