| NPI | 1134117666 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-10-10 |
| Last Updated | 2012-09-13 |
| Authorized Official | Dick Stebbins MEMBER/MANAGER Phone: 9037575360 |
| Mailing Address | 600 E Whaley St Longview, TX 75601-6525 United States Phone: (903) 757-5360 | Fax: (903) 753-8621 📍 View Map |
| Primary Practice Address | 5300 Alta Mesa Blvd Fort Worth, TX 76133-5924 United States Phone: (817) 346-1800 | Fax: (817) 346-0149 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 022645801 | — |
| MEDICAID | TX | 001001513 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 314000000X – Skilled Nursing Facility | TX | 100222 |
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About NPI 1134117666
Ft. Worth Southwest Nursing Center, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1134117666. The primary specialty listed is Skilled Nursing Facility. The organization is located in Fort Worth, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1134117666?
NPI 1134117666 belongs to Ft. Worth Southwest Nursing Center, Llc, a Skilled Nursing Facility in Fort Worth, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1134117666 active?
The current status of NPI 1134117666 in the NPPES registry is Active. The record was last updated on 2012-09-13.
What specialty is NPI 1134117666?
NPI 1134117666 is classified under the taxonomy Skilled Nursing Facility. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1134117666?
You can verify NPI 1134117666 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1134117666?
The primary practice address on file for NPI 1134117666 is 5300 Alta Mesa Blvd, Fort Worth, TX 76133-5924. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1134117666 issued?
NPI 1134117666 was first issued (enumerated) on 2005-10-10. The NPPES record was last updated on 2012-09-13.
Practice Location Map
Ft. Worth Southwest Nursing Center, Llc is located at 5300 Alta Mesa Blvd, Fort Worth, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ft. Worth Southwest Nursing Center, Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1134117666. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Skilled Nursing Facility | 100222 | TX |