Alice Place Medical Care Services
LBN: Alice Place Health Care Services
Alice Place Medical Care Services is an health care organization with primary practice located at 3333 Willouby Dr , Grand Prairie TX 75052-6129. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Agencies / Home Health is the primary health care specialty.
Alice Place Health Care Services can be contacted via phone (615) 810-5983, or through Adereti, Monnie Esther via phone (469) 756-7021.
Contact Information
Primary practice address
3333 Willouby Dr
Grand Prairie TX 75052-6129
Phone: (615) 810-5983
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X |
Profile Details
| NPI number | 1679191779 |
|---|---|
| LBN Legal business name | Alice Place Health Care Services |
| DBA Doing business as | Alice Place Medical Care Services |
| Authorized official | Adereti, Monnie Esther DNP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2020 |
| Last updated | Dec 22nd, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679191779 | NPPES |
| Texas | MEDICAID | 1922498468 |
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