The Premier Memory Care of Alice – Assisted Living Facility, NPI 1104416049

The Premier Memory Care of Alice is a healthcare provider. based in Ft worth, Texas. specializing in Assisted Living Facility. The NPI Number for The Premier Memory Care of Alice is 1104416049

Main info

Organization
Name
The Premier Memory Care of Alice
NPI
1104416049
Phone
(817) 348-8959
Address
4150 INTERNATIONAL PLZ STE 600
Authorized Official
GARY BLAKE MANAGING MEMBER
Enumeration Date
25 January 2021
Last Update Date
25 January 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness80
Years active:5State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for The Premier Memory Care of Alice

  • 4150 INTERNATIONAL PLZ STE 600

    FT WORTH, TX 761094831

    Phone: (817) 348-8959

    Type: Mailing

  • 800-B COYOTE TRAIL

    ALICE, TX 78332

    Phone: (361) 666-3801

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76109)

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Reviews

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Frequently asked questions

What federal number belongs to The Premier Memory Care of Alice?
The federal identifier for The Premier Memory Care of Alice is NPI 1104416049.
Is The Premier Memory Care of Alice's NPI currently valid?
The extract we use shows The Premier Memory Care of Alice as active.
What kind of provider is The Premier Memory Care of Alice?
The page reflects Assisted Living Facility for The Premier Memory Care of Alice. Clinical services aligned with this taxonomy classification.
What location metadata exists for The Premier Memory Care of Alice?
The page summarizes Ft Worth, Texas for The Premier Memory Care of Alice; expand the address list for detail.
How can I contact The Premier Memory Care of Alice?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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