Organization · Type 2 NPI

TCG Benbrook Al, LLC

Assisted Living Facility · Benbrook, TX

NPI number 1528283280 Active

Practice location

4242 Bryant Irvin Rd, Covenant Place Of Burleson, Lp
Benbrook, TX 76109-4222

Call (817) 763-0088 Map

Fax (817) 763-8841

Mailing address

1200 Summit Ave, Suite 444
Fort Worth, TX 76102-4403

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	000619 (TX)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3 other providers at this address

Other assisted living facility providers in Benbrook

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NPI record

NPI: 1528283280
Entity type: Organization (Type 2)
Issued: Apr 16, 2007
Last updated: Feb 17, 2015
Status: Active
Subpart: Yes of Covenant Group of Texas, LP

Other names

<unavail>
Mirabella Assisted Living · doing business as

Authorized official

Mr. Bryan D. McCaleb
President
(817) 446-4792

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1528283280

TCG Benbrook Al, LLC's National Provider Identifier is 1528283280, issued on Apr 16, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Benbrook, TX. The record was last updated on Feb 17, 2015.