The Safe Place of Grand Prairie, LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

THE SAFE PLACE OF GRAND PRAIRIE, LLC

Practice address

5433 Prairie LN
Grand Prairie, TX 75052-0615

Phone

(817) 658-5570

NPI assigned

Jun 9, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Dayna L Evans

Title

Owner, Founder, President

Phone

(817) 658-5570

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1265726095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541004",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750541004",
            "telephone_number": "817-658-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 PRAIRIE LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520615",
            "telephone_number": "817-658-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SAFE PLACE OF GRAND PRAIRIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, FOUNDER, PRESIDENT",
        "authorized_official_telephone_number": "817-658-5570",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Interpreter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.