Active NPI
Still Management LLC
- Assisted Living Facility
- Grand Prairie, TX
National Provider Identifier
1629660410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- STILL MANAGEMENT LLC
- Practice address
- 2768 Park PL
Grand Prairie, TX 75052-8582 - Phone
- (469) 879-3396
- Fax
- (682) 422-3181
- NPI assigned
- Feb 3, 2021
- 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
- Marcie Frazier
- Title
- Manager
- Phone
- (214) 830-7554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2768 Park PL
Grand Prairie, TX 75052-8582
Mailing address
PO Box 2252
Mansfield, TX 76063-0047
Phone (469) 879-3396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308052 | Other | TX | ASSISTED LIVING FACILITY TYPE A LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Contractor
- Grand Prairie, TX
- NPI 1073829883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612310400000",
"number": "1629660410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2252",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760630047",
"telephone_number": "469-879-3396",
"fax_number": "682-422-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2768 PARK PL",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750528582",
"telephone_number": "469-879-3396",
"fax_number": "682-422-3181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILL MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A",
"authorized_official_last_name": "FRAZIER",
"authorized_official_first_name": "MARCIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "214-830-7554"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSISTED LIVING FACILITY TYPE A LICENSE",
"identifier": "308052",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.