Active NPI
Casablanca Assisted Living and Memory Care
- Case Management Agency
- Fort Worth, TX
National Provider Identifier
1013334721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 000671
- Legal business name
- CASABLANCA ASSISTED LIVING AND MEMORY CARE
- Practice address
- 6617 Dan Danciger Rd
Ft Worth, TX 76133-4905 - Phone
- (817) 292-0925
- NPI assigned
- Mar 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lou Losanes, PHYSICAL THERAPIST
- Title
- Manager
- Phone
- (972) 816-9663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 000671 | TX | Primary |
Addresses
Primary practice location
6617 Dan Danciger Rd
Ft Worth, TX 76133-4905
Mailing address
6617 Dan Danciger Rd
Ft Worth, TX 76133-4905
Phone (817) 292-0925
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395273600000",
"number": "1013334721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6617 DAN DANCIGER RD",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761334905",
"telephone_number": "817-292-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6617 DAN DANCIGER RD",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761334905",
"telephone_number": "817-292-0925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASABLANCA ASSISTED LIVING AND MEMORY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-20",
"last_updated": "2014-03-20",
"status": "A",
"authorized_official_last_name": "LOSANES",
"authorized_official_first_name": "LOU",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "972-816-9663",
"authorized_official_credential": "PHYSICAL THERAPIST"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TX",
"license": "000671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.