NIMROD NATION ENTERPRISE LLC NPI 1275252652

NPI Information

  • NPI: 1275252652
  • Provider Name: NIMROD NATION ENTERPRISE LLC
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Address: 1700 W POLO RD STE 128
    GRAND PRAIRIE, TX
    ZIP 75052
  • Phone: (318) 230-8414

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NPI Details

NIMROD NATION ENTERPRISE LLC is an adult day care clinic center in Grand Prairie, TX. NIMROD NATION ENTERPRISE LLC NPI is 1275252652. The provider is registered as an organization entity type.

The provider's business location address is:

1700 W POLO RD STE 128
GRAND PRAIRIE, TX
ZIP 75052-821
Phone: (318) 230-8414
Fax: (318) 626-7179

The provider's authorized official is Rasby G Mason .
The authorized official title is Owner and has the following contact phone number (318) 230-8410.

The enumeration date for this NPI number is 8/26/2022 and was last updated on 8/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174200000XMealsNo
2177F00000XLodgingNo
3251300000XLocal Education Agency (LEA)No
4251B00000XCase ManagementNo
5251E00000XHome HealthNo
6251S00000XCommunity/Behavioral HealthNo
7251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationNo
8252Y00000XEarly Intervention Provider AgencyNo
9253Z00000XIn Home Supportive CareNo
10261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
11261QV0200XClinic/CenterVANo
12343900000XNon-emergency Medical Transport (VAN)No
13261QA0600XClinic/CenterAdult Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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