OrganizationActive
Centricare LLC
NPI 1215578059 · Adult Care Home Facility · Grand Prairie, TX
Centricare LLC is a Adult Care Home Facility organization in Grand Prairie, TX (NPI 1215578059).
Provider details
- NPI number
- 1215578059
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Divine Nyiawung, President(214) 984-1306
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2820 Park Place Dr
Grand Prairie, TX 75052-8521
Phone: (214) 984-1306
Fax: (214) 984-1306
Street-level locationGet directions
Mailing address
2820 Park Place Dr
Grand Prairie, TX 75052-8521
Registry dates
- Enumerated
- 2019-10-02
- Last updated
- 2019-10-02
Frequently asked questions
- What is Centricare LLC's NPI number?
- Centricare LLC's National Provider Identifier (NPI) is 1215578059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centricare LLC?
- Centricare LLC is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Centricare LLC located?
- Centricare LLC's practice location on file with NPPES is 2820 Park Place Dr, Grand Prairie, TX 75052-8521.
- What is Centricare LLC's phone number?
- The practice phone number listed in the NPPES registry for Centricare LLC is (214) 984-1306.
- Who is the authorized official for Centricare LLC?
- The authorized official listed on Centricare LLC's NPPES record is Divine Nyiawung, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centricare LLC's NPI active?
- Yes — Centricare LLC's NPI (1215578059) is active in the NPPES registry as of the last update on 2019-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.