Active NPI
Ft Worth TX Caregiving LLC
- In Home Supportive Care Agency
- Fort Worth, TX
National Provider Identifier
1013521848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.
-
- In Home Supportive Care Agency
- Waco, TX
- NPI 1548882418
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.