DECATUR HOSPITAL AUTHORITY


Address: 850 12th Ave., Fort Worth, TX 76104-2516
Phone: 8178828289

DECATUR HOSPITAL AUTHORITY (NPI# 1679895163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679895163
Entity Type Organization
Organization Name DECATUR HOSPITAL AUTHORITY
Other Organization Name FORT WORTH TRANSITIONAL CARE CENTER
Practice Address 850 12th Ave.
Fort Worth
TX 76104-2516
Mailing Address 850 12th Ave
Fort Worth
TX 76104-2516
Practice Telephone 8178828289
Practice Fax Number 8178828290
Mailing Telephone 8178828289
Mailing Fax Number 8178828290
Enumeration Date 2010-02-24
Last Update Date 2019-09-13
Authorized Official Name JASON LANCE WREN (CEO)
Authorized Official Telephone 9406268671
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 140335 TX Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 001026023 05

Other Provider/Organization Names

Other Name Type Code
Fort Worth Center of Rehabilitation Doing Business As Name - Organization
Fort Worth Transitional Care Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407229529 Decatur Hospital Authority General Acute Care Hospital 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 2015-11-11
1033508536 Decatur Hospital Authority Clinic/Center 600 E Bailey Boswell Rd, Suite 100, Saginaw, TX 76131-3565 2015-01-21
1336543081 Decatur Hospital Authority Skilled Nursing Facility 1005 Ira E. Woods Parkway, Grapevine, TX 76051-4018 2014-10-09
1275690216 Decatur Hospital Authority Psychiatric Unit 2000 South Fm 51, Decatur, TX 76234 2007-01-02
1730242538 Decatur Hospital Authority Clinic/Center 2150 S Fm 51, Decatur, TX 76234 2006-12-19
1033153762 Decatur Hospital Authority Skilled Nursing Facility 5801 Bryant Irvin Rd, Fort Worth, TX 76132 2006-06-15
1598726358 Decatur Hospital Authority Skilled Nursing Facility 601 Midwestern Pkwy E, Wichita Falls, TX 76302-2401 2006-03-31
1427682137 Decatur Hospital Authority General Acute Care Hospital 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 2020-03-03
1053945766 Decatur Hospital Authority General Acute Care Hospital 609 Medical Center Dr, Decatur, TX 76234-3836 2020-03-03
1962892109 Decatur Hospital Authority Skilled Nursing Facility 999 Raintree Cir, Allen, TX 75013-4947 2015-01-26

Office Location

Street Address 850 12TH AVE.
City FORT WORTH
State TX
Zip Code 76104-2516

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
1497172514 Stephens Memorial Hospital District Skilled Nursing Facility 306 W 7th Strret Suite 430, Fort Worth, TX 76102 2014-03-26
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
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
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City FORT WORTH
Zip Code 76104

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Dataset Information

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.

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