PURPLE HEARTS INTEGRATED COMMUNITY OUTREACH SERVICES
NPI 1962181370
Clinic/Center - Community Health in Grand Prairie, TX

Q: What is Purple Hearts Integrated Community Outreach Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Active since July 13, 2023

688 W PIONEER PKWY STE 120, GRAND PRAIRIE, TX 75051(214) 412-3523(214) 710-2188 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Purple Hearts Integrated Community Outreach Services NPPES

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

PURPLE HEARTS INTEGRATED COMMUNITY OUTREACH SERVICES (NPI 1962181370) is a healthcare organization registered as a community health in Grand Prairie, Texas and active in the NPI registry since July 2023. The organization lists Raven Elliott Modisette, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962181370

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NamePURPLE HEARTS INTEGRATED COMMUNITY OUTREACH SERVICES

Location Address688 W PIONEER PKWY STE 120Grand Prairie, TX 75051-4861

Mailing Address688 W Pioneer Pkwy Ste 120Grand Prairie, TX 75051-4861 · (214) 412-3523 · Fax (214) 710-2188

Phone(214) 412-3523

Fax(214) 710-2188

Organization SubpartNo

Authorized OfficialRaven Elliott ModisetteCeo · (214) 412-3523

Enumeration DateJuly 13, 2023

NPPES CertifiedJuly 13, 2023

✔ NPI 1962181370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

688 W PIONEER PKWY STE 120, Grand Prairie, TX 75051

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Other Providers at the Same Location NPPES

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

PURPLE HEARTS PRIMARY CARE SERVICES, PLLC

Clinic/Center (Primary Care)

688 W PIONEER PKWY STE 120
GRAND PRAIRIE, TX 75051

Dallas County (817) 969-4651

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 Purple Hearts Integrated Community Outreach Services's NPI number?

The NPI number for Purple Hearts Integrated Community Outreach Services is 1962181370. It was assigned to this organization in the NPPES registry on July 13, 2023.

Where is Purple Hearts Integrated Community Outreach Services located?

Purple Hearts Integrated Community Outreach Services is located at 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051. The listed phone number is (214) 412-3523.

What is Purple Hearts Integrated Community Outreach Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Purple Hearts Integrated Community Outreach Services was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.