Active NPI
Cam Cam Ventures II, LLC
- Developmentally Disabled Services Day Training Agency
- Fort Worth, TX
National Provider Identifier
1033009774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- CAM CAM VENTURES II, LLC
- Practice address
- 5337 Rutland Ave
Fort Worth, TX 76133-2347 - Phone
- (682) 777-8862
- NPI assigned
- Jul 4, 2025
- 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
- Cierra Ciszecky
- Title
- Owner
- Phone
- (682) 777-8862
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
5337 Rutland Ave
Fort Worth, TX 76133-2347
Mailing address
529 Vickie St
Crowley, TX 76036-2775
Phone (682) 777-8862
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751587200000",
"number": "1033009774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 VICKIE ST",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760362775",
"telephone_number": "682-777-8862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5337 RUTLAND AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761332347",
"telephone_number": "682-777-8862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAM CAM VENTURES II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-04",
"last_updated": "2025-07-04",
"certification_date": "2025-07-04",
"status": "A",
"authorized_official_last_name": "CISZECKY",
"authorized_official_first_name": "CIERRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "682-777-8862"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.