Provider Demographics
NPI:1407233091
Name:GRAND ASSISTED LIVING
Entity Type:Organization
Organization Name:GRAND ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZAMEER
Authorized Official - Middle Name:H
Authorized Official - Last Name:SOOMRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-250-1182
Mailing Address - Street 1:1705 W UNIVERSITY DR STE 112
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3219
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1705 W UNIVERSITY DR STE 112
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3219
Practice Address - Country:US
Practice Address - Phone:214-250-1182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-03
Last Update Date:2015-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient