Alice Place Health Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALICE PLACE HEALTH CARE SERVICES

Doing business as

Alice Place Medical Care Services

Practice address

3333 Willouby Dr
Grand Prairie, TX 75052-6129

Phone

(615) 810-5983

NPI assigned

Jul 6, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Monnie Esther Adereti, DNPNPI 1922498468

Title

FNP

Phone

(469) 756-7021

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Alice Place Medical Care Services Doing business as

Electronic endpoints 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monnie E Adereti, FNP

  • Family Nurse Practitioner
  • Arlington, TX
  • NPI 1922498468
  NPD Authorized official

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1679191779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 LA JOLLA BLVD",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540299",
            "telephone_number": "469-756-7021",
            "fax_number": "469-502-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 WILLOUBY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526129",
            "telephone_number": "615-810-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE PLACE HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "ADERETI",
        "authorized_official_first_name": "MONNIE",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "469-756-7021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922498468",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AlicePlaceHealthCareServicesLLC",
            "affiliation": "N",
            "address_1": "2719 La Jolla Blvd",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750540299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AlicePlaceHealthCareServicesLLC",
            "affiliation": "N",
            "endpointDescription": "Home Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2719 La Jolla Blvd",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750540299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AlicePlaceHealthCareServicesLLC",
            "affiliation": "N",
            "address_1": "2719 La Jolla Blvd",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750540299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AlicePlaceHealthCareServicesLLC",
            "affiliation": "N",
            "endpointDescription": "Home Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2719 La Jolla Blvd",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750540299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Alice Place Medical Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alice Place Medical Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelley Aleni-Odeh
• Andriana Love Alexander, MD
• Alexus Dutchess Medical Consulant
• Felicia Dwan Alford, LMSW
• Khalillah S Ali, NP
• Alice Place Medical Care Services
• Align Chirocare, PLLC
• Alignment and Motion Chiropractic PLLC
• Alive Diagnostics
• All Manage Care Services, LLC

• Home Health Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Home Health Agency in Texas

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

Verify at the official NPI Registry.