Active NPI
Calab, Inc
- Intellectual Disabilities Intermediate Care Facility
- Arlington, TX
National Provider Identifier
1508916297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 45G465
- Legal business name
- CALAB, INC
- Practice address
- 4209 Blossom TRL
Arlington, TX 76016-4302 - Phone
- (817) 516-7577
- NPI assigned
- Jan 12, 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 | 45G465 | TX | Primary |
Addresses
Primary practice location
4209 Blossom TRL
Arlington, TX 76016-4302
Mailing address
297 NW 25TH St
Grand Prairie, TX 75050-4804
Phone (972) 647-9103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000724502 | Other | TX | PROVIDER NUMBER |
Other names 1
- Blossom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 45G465
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- 4209 BLOSSOM TRAIL
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Mar 7, 1991
- Last certification
- Aug 7, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Facility address
- 4209 Blossom TR
Arlington, TX 76016
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
- Grand Prairie, TX
- NPI 1124179296
-
- 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 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
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Grand Prairie, TX
- NPI 1598098196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702252800000",
"number": "1508916297",
"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": "4209 BLOSSOM TRL",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760164302",
"telephone_number": "817-516-7577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALAB, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"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": "45G465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "000724502",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Blossom",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Blossom",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Arlington, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.