Griffin Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRIFFIN MANOR

Practice address

1428 Queens Brook LN
Fort Worth, TX 76140-5747

Phone

(682) 433-6070

Fax

(817) 568-1486

NPI assigned

May 26, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Jean L Dear

Title

Owner/Care Giver

Phone

(682) 433-6070

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1174816912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 QUEENS BROOK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761405747",
            "telephone_number": "682-433-6070",
            "fax_number": "817-568-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 QUEENS BROOK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761405747",
            "telephone_number": "682-433-6070",
            "fax_number": "817-568-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "DEAR",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CARE GIVER",
        "authorized_official_telephone_number": "682-433-6070",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeewanjot Grewal, MD
• Richard Grewing
• Emilia Gridina
• Sarahi Grifaldo
• Sarah Griffin - Dildy, LPC
• Alicia Lynn Griffin, DDS
• Daquelle Griffin
• David Griffin
• Jada Griffin
• Jasmine Renee Batiste Griffin, LPC

• Assisted Living Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.