# MSPF-IV GRAPEVINE OE, LP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lone Star Comprehensive Adult Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992976351
- **Authorized official:** MR. DAVID RONCK (MANAGER)
- **Authorized official phone:** (214) 651-4050

## Contact information

- **Practice address:** 1005 IRA E WOODS AVE, GRAPEVINE, TX 76051-4018
- **Practice address phone:** (817) 796-4621
- **Practice address fax:** (817) 796-4629
- **Mailing address:** 3811 TURTLE CREEK BLVD, SUITE \#1850, DALLAS, TX 75219-4402
- **Mailing address phone:** (214) 651-4050
- **Mailing address fax:** (214) 651-4001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 117706 | TX | Yes |

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 04/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5471 | MEDICAID VENDOR | TX |