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MIRABELLA ASSISTED LIVING
NPI 1528283280
Assisted Living Facility in Benbrook, TX

Active since April 16, 2007CLIA 45D2217910 · Waiver
4242 BRYANT IRVIN RD, COVENANT PLACE OF BURLESON, LP, BENBROOK, TX 76109(817) 763-0088(817) 763-8841 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mirabella Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRABELLA ASSISTED LIVING (NPI 1528283280) is a healthcare organization registered as an assisted living facility in Benbrook, Texas and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Bryan D. Mccaleb, President, as its authorized official.

NPPES Registry Identity

NPI1528283280
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTCG BENBROOK AL, LLC
Location Address4242 BRYANT IRVIN RD, COVENANT PLACE OF BURLESON, LPBenbrook, TX 76109-4222
Mailing Address1200 Summit Ave, Suite 444Fort Worth, TX 76102-4403 · (817) 446-4792 · Fax (817) 446-0923
Phone(817) 763-0088
Fax(817) 763-8841
Organization SubpartYesParent: Covenant Group Of Texas, Lp
Authorized OfficialBryan D. MccalebPresident · (817) 446-4792
Enumeration DateApril 16, 2007
Last NPPES UpdateFebruary 17, 2015
✔ NPI 1528283280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in TX · 000619
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4242 BRYANT IRVIN RD, Benbrook, TX 76109
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Other Names 1

Doing Business AsMirabella Assisted Living

Other Identifiers 1

Other001014575TX · Cba Vendor Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2217910

Mirabella Assited Living · Fort Worth, TX
Active · expires Mar 23, 2027
CLIA Number45D2217910
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorJeff Treml
Laboratory Phone(817) 763-0088
Laboratory LocationMirabella Assited Living4242 Bryant Irvin Rd, Fort Worth, TX 76109
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

S TCG BENBROOK AL, LLC
Assisted Living Facility
4242 BRYANT IRVIN RD
BENBROOK, TX 76109
Tarrant County (817) 763-0088
DR. JEFFREY BRADFORD PELLETT PT, DPT
Physical Therapist
4242 BRYANT IRVIN RD
BENBROOK, TX 76109
Tarrant County (817) 754-5992
HCRI TUCSON PROPERTIES, INC
Assisted Living Facility
4242 BRYANT IRVIN RD
BENBROOK, TX 76109
Tarrant County (817) 763-0088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tcg Benbrook Al, LLC's NPI number?

The NPI number for Tcg Benbrook Al, LLC is 1528283280. It was assigned to this organization in the NPPES registry on April 16, 2007. The provider is doing business as Mirabella Assisted Living.

Where is Tcg Benbrook Al, LLC located?

Tcg Benbrook Al, LLC is located at 4242 Bryant Irvin Rd Covenant Place Of Burleson, LP, Benbrook, TX 76109. The listed phone number is (817) 763-0088.

What is Tcg Benbrook Al, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Tcg Benbrook Al, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2217910) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tcg Benbrook Al, LLC was last updated on February 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.