Forth Worth Manor Inc in Fort Worth - Nursing Facility/intermediate Care Facility
Forth Worth Manor Inc - NPI 1891782298
Forth Worth Manor Inc is a Nursing Facility/intermediate Care Facility in Fort Worth, Texas. Forth Worth Manor Inc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Forth Worth Manor Inc is 1891782298. The last update date is 2008-06-16.
Forth Worth Manor Inc's current location address is 4900 E Berry St, Fort Worth, Texas. You can contact this provider via phone number 8175313707 and fax number 8175361648. The mailing address for Forth Worth Manor Inc is 4900 E Berry St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Forth Worth Manor Inc |
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Address | 4900 E Berry St, Fort Worth, Texas |
Phone Number | 8175313707 |
Fax Number | 8175361648 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | INSURANCE/ |
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Authorized Official Name | Pita Janice |
Telephone Number | 5806226300 |
NPI Number Detail
NPI Number | 1891782298 |
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Provider Enumeration Date | 2005-09-30 |
Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
Address | 4900 E Berry St |
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City | Fort Worth |
State | Texas (TX) |
Post Code | 761054314 |
Phone Number | 8175313707 |
Fax Number | 8175361648 |
Provider's Primary Taxonomy Detail
Speciality | Nursing Facility/intermediate Care Facility |
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Taxonomy | 313M00000X |
Licence No | 113559 |
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
HH320S | TX | BLUE CROSS BLUE SHIELD | |
1012189 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Forth Worth Manor Inc?
The Forth Worth Manor Inc has been issued the NPI (National Provider Identifier) 1891782298 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Forth Worth Manor Inc is physically located?
The Forth Worth Manor Inc is physically situated at the following address: 4900 E Berry St, Fort Worth, TX, 761054314.
What is the Forth Worth Manor Inc's specialty and taxonomy code?
The Forth Worth Manor Inc's specialty is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code is 313M00000X.
When was the Forth Worth Manor Inc's 1891782298 issued?
The Forth Worth Manor Inc's 1891782298 was issued on 2005-09-30.
When was the information related to Forth Worth Manor Inc most recently updated or refreshed?
The details pertaining to the Forth Worth Manor Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-16.