Organization Active NPI

Ft Worth TX Caregiving LLC

  • In Home Supportive Care Agency
  • Fort Worth, TX
National Provider Identifier
1013521848
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FT WORTH TX CAREGIVING LLC
Practice address
6777 Camp Bowie Blvd Ste 331
Fort Worth, TX 76116-7196
Phone
(817) 710-8380
NPI assigned
Aug 31, 2020
Organization subpart
Yes
Parent organization
CORNERSTONE CAREGIVING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Avery Lain
Title
VP Business Development
Phone
(817) 991-7836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6777 Camp Bowie Blvd Ste 331
Fort Worth, TX 76116-7196

Mailing address

209 S 28TH St
Waco, TX 76710-7415

Other practice location 1

1315 Waters Edge Dr Ste 105
Granbury, TX 76048-1300
Phone (817) 710-8380

Other names 1

  • Cornerstone Caregiving Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fortworthtx@cornerstonecaregiving.com

National Provider Directory

National Provider Directory
Part of
Cornerstone Caregiving LLC

Locations

6777 Camp Bowie Blvd
Ste 331
Fort Worth, TX 76116
Phone (817) 710-8380

1315 Waters Edge Dr
Ste 105
Granbury, TX 76048
Phone (817) 710-8380

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1013521848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S 28TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 CAMP BOWIE BLVD STE 331",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167196",
            "telephone_number": "817-710-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 Waters Edge Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760481300",
            "country_code": "US",
            "telephone_number": "817-710-8380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FT WORTH TX CAREGIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNERSTONE CAREGIVING LLC",
        "enumeration_date": "2020-08-31",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "LAIN",
        "authorized_official_first_name": "AVERY",
        "authorized_official_title_or_position": "VP BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "817-991-7836"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fortworthtx@cornerstonecaregiving.com",
            "affiliation": "N",
            "endpointDescription": "Site general email",
            "address_1": "6777 Camp Bowie Blvd Ste 331",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761167196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cornerstone Caregiving",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cornerstone Caregiving",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.