The Estates at Grand Prairie Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

118696 Issued in TX

Legal business name

THE ESTATES AT GRAND PRAIRIE INC

Practice address

1005 SW 3Rd St
Grand Prairie, TX 75051-3034

Phone

(972) 237-1943

Fax

(972) 237-5964

NPI assigned

May 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheri Beth Chong, M.A.,PHD.

Title

Director

Phone

(817) 437-6657

Specialties & licenses 1

Addresses

Other names 1

• TOWN HALL ADULT DAY CARE CENTER-GRAND PRAIRIE INC Former legal business name

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396951315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SW 3RD ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513034",
            "telephone_number": "972-237-1943",
            "fax_number": "972-237-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SW 3RD ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513034",
            "telephone_number": "972-237-1943",
            "fax_number": "972-237-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ESTATES AT GRAND PRAIRIE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-437-6657",
        "authorized_official_credential": "M.A.,PHD."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "118696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWN HALL ADULT DAY CARE CENTER-GRAND PRAIRIE INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Grand Prairie, TX
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• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.