STEPHENS MEMORIAL HOSPITAL DISTRICT (NPI# 1497172514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497172514 |
| Entity Type | Organization |
| Organization Name | STEPHENS MEMORIAL HOSPITAL DISTRICT |
| Other Organization Name | MULBERRY MANOR |
| Practice Address |
306 W 7th Strret Suite 430 Fort Worth TX 76102 |
| Mailing Address |
1670 W Lingleville Rd Stephenville TX 76401-1830 |
| Practice Telephone | 8173396177 |
| Practice Fax Number | 8173396178 |
| Mailing Telephone | 2549682158 |
| Mailing Fax Number | 2549656971 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2016-05-31 |
| Authorized Official Name | RYAN HARRINGTON (PRESIDENT) |
| Authorized Official Telephone | 8173396177 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Mulberry Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022908 | Stephens Memorial Hospital District | Skilled Nursing Facility | 207 E Parkerville Rd, Desoto, TX 75115-6251 | 2005-09-08 |
| 1235789140 | Stephens Memorial Hospital District | Clinical Medical Laboratory | 200 S Geneva St, Breckenridge, TX 76424-4799 | 2019-09-13 |
| 1952709131 | Stephens Memorial Hospital District | Skilled Nursing Facility | 820 Small St, Grand Prairie, TX 75050-5856 | 2014-12-19 |
| 1518361369 | Stephens Memorial Hospital District | Clinic/Center | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2014-10-22 |
| 1831593029 | Stephens Memorial Hospital District | Skilled Nursing Facility | 224 E 6th St, Baird, TX 79504-3606 | 2014-10-16 |
| 1215358031 | Stephens Memorial Hospital District | Psychiatric Unit | 1110 E Hullum St, Breckenridge, TX 76424-4616 | 2013-12-20 |
| 1205257029 | Stephens Memorial Hospital District | Medicare Defined Swing Bed Unit | 200 S Geneva St, Breckenridge, TX 76424 | 2013-12-20 |
| 1336560382 | Stephens Memorial Hospital District | Clinic/Center | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2013-12-18 |
| 1285065623 | Stephens Memorial Hospital District | General Acute Care Hospital | 200 S Geneva St, Breckenridge, TX 76424-4702 | 2013-12-11 |
| 1003246919 | Stephens Memorial Hospital District | Skilled Nursing Facility | 230 S Clark Rd, Cedar Hill, TX 75104-2750 | 2013-11-14 |
| Street Address |
306 W 7TH STRRET SUITE 430 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
| 1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
| 1316448061 | Diondra Deshawn Narcisse | Licensed Vocational Nurse | 1314 Lake Street, Fort Worth, TX 76102 | 2018-02-27 |
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1104324516 | Vicki Webb-baker | Health Educator | 512 Lamar Street, Suite 400, Fort Worth, TX 76102 | 2018-01-31 |
| 1235647678 | Brianna Marie Keister | Occupational Therapist | 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 | 2018-01-19 |
| 1437507910 | Medical Hearing Services, LLC | Hearing Aid Equipment | 1201 Summit Avenue, Fort Worth, TX 76102 | 2016-05-25 |
| 1891171476 | Karis Starke | Physical Therapy Assistant | 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 | 2015-08-05 |
| 1265839344 | Fm Katy Dental and Orthodontics, Pllc | Dentist | 100 E 15th Ste 520, Fort Worth, TX 76102 | 2014-12-04 |
| 1093134512 | Superior Evaluation Services | General Practice | 420 Throckmorton Suite 200, Ft. Worth, TX 76102 | 2014-04-11 |
| Find all providers in zip 76102 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467973404 | Moc Fort Worth LLC | Skilled Nursing Facility | 6301 Oakmont Blvd, Fort Worth, TX 76132-2814 | 2017-06-29 |
| 1669929642 | Eastland Memorial Hospital District | Skilled Nursing Facility | 4240 Golden Triangle Boulevard, Fort Worth, TX 76244 | 2016-09-07 |
| 1326594052 | Stockyards Healthcare, Inc. | Skilled Nursing Facility | 6301 Oakmont Boulevard, Fort Worth, TX 76132 | 2016-09-01 |
| 1770972572 | Dallas County Hospital District | Skilled Nursing Facility | 7021 Bryant Irvin Rd, Fort Worth, TX 76132-4243 | 2015-01-15 |
| 1245662675 | Performance Care Centers LLC | Skilled Nursing Facility | 7021 Bryant Irvin Road, Fort Worth, TX 76132 | 2013-08-08 |
| 1881968808 | Fw Senior Community Ltd Co | Skilled Nursing Facility | 4600 Heritage Trace Pkwy, Fort Worth, TX 76244-8900 | 2012-03-08 |
| 1750679098 | Tarrant County Senior Living Center, Inc. | Skilled Nursing Facility | 2501 Museum Way, Fort Worth, TX 76107-3057 | 2011-07-20 |
| 1386949220 | Remarkable Healthcare of Fort Worth, Lp | Skilled Nursing Facility | 6649 North Riverside Drive, Fort Worth, TX 76137 | 2011-01-25 |
| 1679895163 | Decatur Hospital Authority | Skilled Nursing Facility | 850 12th Ave., Fort Worth, TX 76104-2516 | 2010-02-24 |
| 1821322595 | Prasanna K.n.kumar M.d. F.r.c.s. P.a. | Skilled Nursing Facility | 3813 Diamond Loch W, Fort Worth, TX 76180-8729 | 2009-09-28 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76102 |
Please comment or provide details below to improve the information on STEPHENS MEMORIAL HOSPITAL DISTRICT.
| 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.