TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH (NPI# 1730278417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730278417 |
| Entity Type | Organization |
| Organization Name | TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH |
| Practice Address |
1301 Pennsylvania Ave Fort Worth TX 76104-2122 |
| Mailing Address |
500 E Border St # 124 Arlington TX 76010-7445 |
| Practice Telephone | 8178823770 |
| Practice Fax Number | 8175708199 |
| Mailing Telephone | 8008906034 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | DAVID CHARLES SALSBERRY (CHIEF REVENUE OFFICER) |
| Authorized Official Telephone | 6822366485 |
| Is Organization Subpart | Y |
| Parent Organization Name | HARRIS METHODIST FORT WORTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 000652 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0942054-01 | 05 | |
| TX | BLUE CROSS CONTINUED CARE | HH0915 | 01 |
| TX | DEPT OF LABOR | 232200200 | 01 |
| Street Address |
1301 PENNSYLVANIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227257 | Robert Louis Quillin | Pediatrics | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2005-07-05 |
| 1003414996 | Jana Mitchell | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-10-13 |
| 1730799941 | Brin Alexandra Morris | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-08-03 |
| 1871103168 | Niki Sheth | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-08-03 |
| 1033736863 | Molly Taylor | Respiratory Therapist, Registered | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-27 |
| 1215554175 | Suja Varghese | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-26 |
| 1538786470 | Amanda A Viehmann | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-26 |
| 1376169599 | Heather Nicole Le | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-23 |
| 1750904249 | Kelli Renee Vogler | Physician Assistant | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-05-19 |
| 1598387169 | Alim Virji | Radiology | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-05-17 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598834566 | Kindred Hospitals Limited Partnership | Long Term Care Hospital | 815 8th Ave, Fort Worth, TX 76104-2609 | 2006-11-06 |
| 1205884491 | Regency Hospital of Fort Worth, Lllp | Long Term Care Hospital | 6801 Oakmont Boulevard, Fort Worth, TX 76132 | 2006-05-04 |
| 1659440634 | Transitional Hospitals Corporation of Texas, LLC | Long Term Care Hospital | 7800 Oakmont Blvd, Fort Worth, TX 76132 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1922522606 | Lhcg Cxxi, LLC | Long Term Care Hospital | 2830 Calder St Fl 4, Beaumont, TX 77702-1809 | 2017-08-03 |
| 1285158964 | Lhcg Cxxii, LLC | Long Term Care Hospital | 820 Clarksville St Fl 6, Paris, TX 75460-6027 | 2017-08-03 |
| 1699121350 | Baylor College of Medicine | Long Term Care Hospital | 8660 Memorial Dr, Houston, TX 77024-7014 | 2016-05-11 |
| 1841656543 | Dicomity Solutions | Long Term Care Hospital | 17113 Tortoise St, Round Rock, TX 78664-8517 | 2016-01-11 |
| 1457730426 | Chg Hospital Houston, LLC | Long Term Care Hospital | 709 W Medical Center Blvd, Webster, TX 77598-4005 | 2015-05-23 |
| 1689063679 | Lourdes T Ortiz | Long Term Care Hospital | 5806 Providence Oak, San Antonio, TX 78249-4878 | 2015-01-14 |
| 1295139749 | Atrium Medical Center | Long Term Care Hospital | 5931 Mettler Ln, Richmond, TX 77469-2240 | 2014-10-13 |
| 1467853051 | Pam Squared At Corpus Christi, LLC | Long Term Care Hospital | 600 Elizabeth St Fl 3, Corpus Christi, TX 78404-2235 | 2014-09-15 |
| 1548672108 | Pan American Diabetes Foundation | Long Term Care Hospital | 705 Cervantes Ct, El Paso, TX 79922-2102 | 2014-05-29 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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| 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.