Community Assisted Living of Grand Prairie, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

119249 Issued in TX

Legal business name

COMMUNITY ASSISTED LIVING OF GRAND PRAIRIE, INC.

Practice address

402 Duncan Perry Rd
Grand Prairie, TX 75050-2907

Phone

(972) 206-0402

Fax

(972) 206-0408

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Carol A Anderson Bell

Title

President / Owner

Phone

(817) 633-8511

Specialties & licenses 1

Addresses

Other names 1

• 402 Duncan Perry Doing business as

Locations

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1750577342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535369",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750535369",
            "telephone_number": "972-206-0402",
            "fax_number": "972-206-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 DUNCAN PERRY RD",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502907",
            "telephone_number": "972-206-0402",
            "fax_number": "972-206-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ASSISTED LIVING OF GRAND PRAIRIE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON BELL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "817-633-8511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "119249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "402 Duncan Perry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.