TANDY VILLAGE ASSISTED LIVING (NPI# 1215174727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215174727 |
| Entity Type | Organization |
| Organization Name | TANDY VILLAGE ASSISTED LIVING |
| Other Organization Name | ROMANS HOUSE LLC |
| Practice Address |
2601 Tandy Ave Fort Worth TX 76103-2552 |
| Practice Telephone | 8175351253 |
| Practice Fax Number | 8175360177 |
| Mailing Telephone | 8175351253 |
| Mailing Fax Number | 8175360177 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |
| Authorized Official Name | MS. NELLIE S. QUETON (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 8175351253 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 125808 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS DEPT OF AGING AND DISABILITY- DADS | 000964 | 01 |
| Other Name | Type Code |
|---|---|
| Romans House LLC | Doing Business As Name - Organization |
| Street Address |
2601 TANDY AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76103-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346375631 | Quilted Care--texas, Limited Partnership | Assisted Living Facility | 2601 Tandy Ave, Fort Worth, TX 76103-2552 | 2007-02-23 |
| 1164784658 | Silver Heart Hospice LLC | Hospice Care, Community Based | 2601 Tandy Ave, # 800, Fort Worth, TX 76103-2552 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487170353 | Wafaa Sabrina Chatila | Specialist/Technologist | 1307 W Mitchell St, Arlington, TX 76103 | 2017-08-22 |
| 1598281107 | Daisy Marie Coleman | Licensed Vocational Nurse | 3500 Canyon Ridge Ave, Fort Worth, TX 76103 | 2017-08-15 |
| 1972054724 | Endurance Home Health Care | Home Health | 3605 West Pioneer Parkway, Suite A5-a6, Pantego, TX 76103 | 2016-10-17 |
| 1295011369 | Marvin Eugene Williams | Dentist | 3913 E. Lancaster, Ft. Worth, TX 76103 | 2011-11-02 |
| 1790095347 | Stephanie Ann Adams | Counselor | 2401 Oakland Blvd., Suite 100, Fort Worth, TX 76103 | 2010-10-18 |
| 1376797407 | South Texas Dental Associates, L.p. | Dentist | 4229 East Lancaster Ave., Fort Worth, TX 76103 | 2008-11-17 |
| 1093998429 | Dallas/fort Worth Urology Consultants | Urology | 4809 Brentwood Stair Road, Fort Worth, TX 76103 | 2007-12-07 |
| 1700073434 | Brentwood Stair Chiropractic | Chiropractor | 4809 Brentwood Stair Rd, Fort Worth, TX 76103 | 2007-09-26 |
| 1750430583 | Henry J Bedford | Nurse Anesthetist, Certified Registered | 1807 A W Park Row, Arlington, TX 76103 | 2007-01-10 |
| 1356705131 | Vgr Vision, Inc | Technician/Technologist | 309 S Oakland Blvd, Fort Worth, TX 76103 | 2016-04-07 |
| Find all providers in zip 76103 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245882588 | Home of Champions | Assisted Living Facility | 7816 Whitney Ln, Fort Worth, TX 76112-6168 | 2019-07-16 |
| 1609378603 | Ridglea Senior Living 2015, LLC | Assisted Living Facility | 4109 Westridge Ave, Fort Worth, TX 76116-7410 | 2018-03-06 |
| 1235657008 | Genesis Gardens, Inc. | Assisted Living Facility | 174 Sycamore School Rd, Fort Worth, TX 76134-5008 | 2017-08-31 |
| 1760914469 | Southwest Ltc - Fort Worth Alf, LLC | Assisted Living Facility | 6931 River Park Cir, Fort Worth, TX 76116-8465 | 2017-03-31 |
| 1558893701 | Southwest Ltc - Fort Worth Alf, LLC | Assisted Living Facility | 6939 River Park Cir, Fort Worth, TX 76116-8465 | 2017-03-28 |
| 1649533910 | All In All Home Healthcare Agency | Assisted Living Facility | 5938 Bayside Dr, Fort Worth, TX 76132-2645 | 2012-06-20 |
| 1477832681 | Circle of Helping Hands LLC | Assisted Living Facility | 6405 Greenbriar Lane, Fort Worth, TX 76132-3037 | 2011-08-05 |
| 1043505175 | Angels Haven, LLC | Assisted Living Facility | 2724 Calico Rock Dr, Fort Worth, TX 76131-2034 | 2011-06-16 |
| 1174816912 | Griffin Manor | Assisted Living Facility | 1428 Queens Brook Ln, Fort Worth, TX 76140-5747 | 2011-05-26 |
| 1407180292 | Chritian Love Foundation | Assisted Living Facility | 6325 Vel Dr, Fort Worth, TX 76112-8035 | 2009-09-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76103 |
Please comment or provide details below to improve the information on TANDY VILLAGE ASSISTED LIVING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.