FORT WORTH SENIOR CARE LLC NPI 1043927247

NPI Information

NPI: 1043927247
Provider Name: FORT WORTH SENIOR CARE, LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
5100 RANDOL MILL RD
FORT WORTH, TX
ZIP 76112
Phone: (817) 548-3200
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FORT WORTH SENIOR CARE, LLC is a rehabilitation clinic center in Fort Worth, TX. FORT WORTH SENIOR CARE, LLC NPI is 1043927247. The provider is registered as an organization entity type.

The provider's business location address is:

5100 RANDOL MILL RD
FORT WORTH, TX
ZIP 76112-553
Phone: (817) 548-3200
Fax: (817) 529-0768

The provider's authorized official is Cynthia Matheny .
The authorized official title is Authorized Signatory and has the following contact phone number (423) 883-7920.

The enumeration date for this NPI number is 10/28/2022 and was last updated on 10/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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