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NPI 1033301346ActiveOrganization· Assisted Living Facility· Grand Prairie, TX
Assisted Living Facility in Grand Prairie, Texas, registered in NPPES in August 2007. The authorized official on file is Phelix Logan, Director.
Overview
| NPI | 1033301346 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2007 |
| Last updated in NPPES | Aug 8, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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