1102 Fort Scott Trail
Intermediate care facility for individuals with intellectual disabilities in Grand Prairie, TX, Medicare certification number 45G863.
Medicare certification
Provider of Services- CCN
- 45G863
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (proprietary)
- Participating since
- Nov 12, 1991
- Last certification
- Jul 24, 2025
- Beds
- 6
- Address
- 1102 Fort Scott Trail
Grand Prairie, TX 75052
(972) 647-9103
NPI records for this facility 1
-
- Intellectual Disabilities Intermediate Care Facility
- Grand Prairie, TX
- NPI 1710037411
Name & address match
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.