CENTERS FOR LONG TERM CARE ANCILLARY SERVICES INC. NPI 1700892593

NPI Information

  • NPI: 1700892593
  • Provider Name: CENTERS FOR LONG TERM CARE ANCILLARY SERVICES INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 7606 PEBBLE DR
    BLDG 28
    FORT WORTH, TX
    ZIP 76118
  • Phone: (214) 624-0868

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NPI Details

CENTERS FOR LONG TERM CARE ANCILLARY SERVICES INC. is a durable medical equipment medical supplies in Fort Worth, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CENTERS FOR LONG TERM CARE ANCILLARY SERVICES INC. NPI is 1700892593. The provider is registered as an organization entity type.

The provider's business location address is:

7606 PEBBLE DR
BLDG 28
FORT WORTH, TX
ZIP 76118-994
Phone: (214) 624-0868
Fax: (817) 595-8929

The provider's authorized official is Gary R Trebert .
The authorized official title is Owner and has the following contact phone number (214) 634-0868.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 8/22/2020.

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
1332B00000XDurable Medical Equipment & Medical Supplies0052443TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100939232AMEDICAIDGEORGIA
20548974MEDICAIDIOWA
375033020MEDICAIDNEW MEXICO

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: 3/30/2025

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