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TANDY VILLAGE ASSISTED LIVING NPI 1215174727


NPI Information

NPI: 1215174727
Provider Name: TANDY VILLAGE ASSISTED LIVING

Doing Business As: ROMANS HOUSE LLC

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2601 TANDY AVE
FORT WORTH, TX
ZIP 76103
Phone: (817) 535-1253
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TANDY VILLAGE ASSISTED LIVING is an assisted living facility in Fort Worth, TX. The provider is 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. TANDY VILLAGE ASSISTED LIVING NPI is 1215174727. The provider is registered as an organization entity type.
The provider Is Doing Business As Romans House Llc.

The provider's business location address is:

2601 TANDY AVE
FORT WORTH, TX
ZIP 76103-552
Phone: (817) 535-1253
Fax: (817) 536-0177

The provider's authorized official is Nellie S. Queton .
The authorized official title is Business Office Manager and has the following contact phone number (817) 535-1253.

The enumeration date for this NPI number is 1/21/2009 and was last updated on 1/21/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility125808TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000964OTHERTEXASTEXAS DEPT OF AGING AND DISABILITY- DADS

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: 4/28/2024

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