Family Ties Senior Citizen Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FAMILY TIES SENIOR CITIZEN HOME, INC.

Practice address

2109 Butterfield TRL
Grand Prairie, TX 75052-1511

Phone

(972) 647-4096

Fax

(972) 602-0666

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Judy Cotton

Title

Owner

Phone

(972) 647-4096

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881810109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 BUTTERFIELD TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521511",
            "telephone_number": "972-647-4096",
            "fax_number": "972-602-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 BUTTERFIELD TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521511",
            "telephone_number": "972-647-4096",
            "fax_number": "972-602-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TIES SENIOR CITIZEN HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-647-4096",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.