Organization Active NPI

Calab Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Grand Prairie, TX
National Provider Identifier
1124179296
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
45G792 Issued in TX
Legal business name
CALAB INC
Practice address
3502 Glenda Dr
Grand Prairie, TX 75052-6425
Phone
(972) 263-6621
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Foy Anderson III
Title
Vice President
Phone
(972) 647-9103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 45G792 TX Primary

Addresses

Primary practice location

3502 Glenda Dr
Grand Prairie, TX 75052-6425

Mailing address

297 NW 25TH St
Grand Prairie, TX 75050-4804
Phone (972) 647-9103

Other identifiers 1

IdentifierTypeStateIssuer
000726602OtherTXFACILITY ID

Other names 1

  • GLENDA Other name

National Provider Directory

National Provider Directory
Tax ID family
Calab Inc24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1124179296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 NW 25TH ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750504804",
            "telephone_number": "972-647-9103",
            "fax_number": "972-606-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 GLENDA DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526425",
            "telephone_number": "972-263-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "FOY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "972-647-9103",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "45G792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "000726602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLENDA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "GLENDA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.