CENTERS FOR LONG TERM CARE ANCILLARY SERVICES INC. (NPI# 1700892593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700892593 |
| Entity Type | Organization |
| Organization Name | CENTERS FOR LONG TERM CARE ANCILLARY SERVICES INC. |
| Practice Address |
7606 Pebble Dr Bldg 28 Fort Worth TX 76118-6994 |
| Practice Telephone | 2146240868 |
| Practice Fax Number | 8175958929 |
| Mailing Telephone | 2146240868 |
| Mailing Fax Number | 8173581080 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GARY R TREBERT (OWNER) |
| Authorized Official Telephone | 2146340868 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0052443 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00939232A | 05 | |
| IA | 0548974 | 05 | |
| NM | 75033020 | 05 |
| Street Address |
7606 PEBBLE DR BLDG 28 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76118-6994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952485153 | Complete Pharmacy Services Inc | Pharmacy | 7606 Pebble Dr, Building 28, Fort Worth, TX 76118-6994 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475936 | Ellen Dixon | Specialist/Technologist | 9502 Garden Wood Drive Apt 421, Fort Worth, TX 76118 | 2018-02-01 |
| 1588016067 | Bartholomew Henderson | Registered Nurse | 3604 Scranton Dr, Richland Hills, TX 76118 | 2016-07-07 |
| 1447548391 | Brent Cooper Orr | Technician, Other | 7415 Whitehall Street Suite 118, Ft Worth, TX 76118 | 2011-07-13 |
| 1972804300 | National Hme | Durable Medical Equipment & Medical Supplies | 7451 Airport Freeway, Richland Hills, TX 76118 | 2010-11-17 |
| 1053572628 | C3 Christian Academy LLC | Respite Care | 6609 Baker Blvd, Richland Hills, TX 76118 | 2008-06-17 |
| 1922282946 | C3 Academy, LLC | Custodial Care Facility | 6609 Baker Blvd., Richland Hills, TX 76118 | 2007-12-27 |
| 1770787202 | George L Ruffin | Counselor | 6900 Boulevard 26, Richland Hills, TX 76118 | 2007-06-11 |
| 1649322629 | Bestcare Home Health,inc | Home Health | 7215-a Baker Blvd., Richland Hills, TX 76118 | 2007-01-18 |
| 1972692838 | Clearview Medical Incorporated | Durable Medical Equipment & Medical Supplies | 2503 Gravel Dr, Fort Worth, TX 76118 | 2006-10-11 |
| 1790753689 | Breath of Life, Inc. | Durable Medical Equipment & Medical Supplies | 2612 Gravel Dr, Bldg 7, Fort Worth, TX 76118 | 2006-03-08 |
| Find all providers in zip 76118 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083225452 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 901 W Leuda St Ste C, Fort Worth, TX 76104-3003 | 2020-08-11 |
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1841814480 | Orthous Medical LLC | Durable Medical Equipment & Medical Supplies | 5049 Edwards Ranch Rd Fl 4, Fort Worth, TX 76109-4133 | 2020-05-29 |
| 1376164921 | Evan Larson | Durable Medical Equipment & Medical Supplies | 1100 Bridgewood Dr Ste 102, Fort Worth, TX 76112-0808 | 2020-05-05 |
| 1356971733 | Elite Hair Strands LLC | Durable Medical Equipment & Medical Supplies | 4609 Marks Iv Pkwy, Fort Worth, TX 76161 | 2020-01-24 |
| 1588209795 | Kamlesh Patel | Durable Medical Equipment & Medical Supplies | 801 E Debbie Lane Suite 101c, Fort Worth, TX 76118-7611 | 2019-11-12 |
| 1023653243 | Dl Durable Equipment LLC | Durable Medical Equipment & Medical Supplies | 801 E. Debbie Lane Suite 101c, Fort Worth, TX 76118-7611 | 2019-11-12 |
| 1851935092 | Above and Beyond Management Inc | Durable Medical Equipment & Medical Supplies | 9500 Ray White Rd # 100, Fort Worth, TX 76244-6000 | 2019-10-31 |
| 1922641463 | Kalos Health Services LLC | Durable Medical Equipment & Medical Supplies | 2222 Wenneca Ave, Fort Worth, TX 76102-4325 | 2019-10-28 |
| 1750924262 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1933 Heritage Trace Pkwy, Fort Worth, TX 76177-0000 | 2019-10-28 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76118 |
Please comment or provide details below to improve the information on CENTERS FOR LONG TERM CARE ANCILLARY SERVICES INC..
| 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.