Organization Active NPI

Calab Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Grand Prairie, TX
National Provider Identifier
1710037411
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
45G863 Issued in TX
Legal business name
CALAB INC
Practice address
1102 Fort Scott TRL
Grand Prairie, TX 75052-2110
Phone
(972) 988-1217
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 45G863 TX Primary

Addresses

Primary practice location

1102 Fort Scott TRL
Grand Prairie, TX 75052-2110

Mailing address

297 NW 25TH St
Grand Prairie, TX 75050-4804
Phone (972) 647-9103

Other identifiers 1

IdentifierTypeStateIssuer
000733302OtherTXFACILITY ID

Other names 1

  • FORT SCOTT Other name

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 45G863

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
1102 FORT SCOTT TRAIL
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Nov 12, 1991
Last certification
Jul 24, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
1102 Fort Scott Trail
Grand Prairie, TX 75052

National Provider Directory

National Provider Directory
Tax ID family
Calab Inc24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

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": "1710037411",
    "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": "1102 FORT SCOTT TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522110",
            "telephone_number": "972-988-1217"
        }
    ],
    "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": "45G863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "000733302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORT SCOTT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FORT SCOTT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.