Active NPI
Calab Inc
- Intellectual Disabilities Intermediate Care Facility
- Grand Prairie, TX
National Provider Identifier
1124179296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 45G792
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000726602 | Other | TX | FACILITY ID |
Other names 1
- GLENDA
National Provider Directory
National Provider Directory- Tax ID family
- Calab Inc
Other organizations with this tax ID 23
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Arlington, TX
- NPI 1134279839
-
- Intellectual Disabilities Intermediate Care Facility
- Arlington, TX
- NPI 1548310253
-
- Intellectual Disabilities Intermediate Care Facility
- Grand Prairie, TX
- NPI 1710037411
-
- Intellectual Disabilities Intermediate Care Facility
- Mesquite, TX
- NPI 1871643593
-
- Intellectual Disabilities Intermediate Care Facility
- Mesquite, TX
- NPI 1891846952
-
- Intellectual Disabilities Intermediate Care Facility
- Arlington, TX
- NPI 1932259629
-
- Community/Behavioral Health Agency
- Arlington, TX
- NPI 1275751265
-
- Intellectual Disabilities Intermediate Care Facility
- Arlington, TX
- NPI 1508916297
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- San Antonio, TX
- NPI 1609099142
-
- Point of Service
- Lubbock, TX
- NPI 1780894022
-
- Intellectual Disabilities Intermediate Care Facility
- Lubbock, TX
- NPI 1790903037
-
- Point of Service
- Lubbock, TX
- NPI 1902017437
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.