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Mg Al Grand Prairie LLC

NPI 1790309482ActiveOrganization· Assisted Living Facility· Grand Prairie, TX

Assisted Living Facility in Grand Prairie, Texas, registered in NPPES in May 2020. The authorized official on file is Adrian Hewitt, Owner.

Overview

NPI1790309482
StatusActive
Entity typeOrganization
NPI issuedMay 29, 2020
Last updated in NPPESJun 10, 2020
Certified by providerJun 10, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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