Organization Active NPI

Creators Mind Cares4Us

  • Community Based Hospice Care Agency
  • Fort Worth, TX
National Provider Identifier
1043049208
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CREATORS MIND CARES4US
Practice address
1074 S Erie St
Fort Worth, TX 76112-7038
Phone
(325) 232-4205
NPI assigned
Jul 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Omoike Eric Aizenofe, M.DIV., BCCNPI 1982433132
Title
Founder
Phone
(325) 232-4205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1074 S Erie St
Fort Worth, TX 76112-7038

Mailing address

PO Box 530513
Grand Prairie, TX 75053-0513
Phone (325) 232-4205

National Provider Directory

National Provider Directory

Locations

1074 S Erie St
Fort Worth, TX 76112
Phone (325) 232-4205

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1043049208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530513",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750530513",
            "telephone_number": "325-232-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 S ERIE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761127038",
            "telephone_number": "325-232-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATORS MIND CARES4US",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "AIZENOFE",
        "authorized_official_first_name": "OMOIKE",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "325-232-4205",
        "authorized_official_credential": "M.DIV., BCC"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "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 Jul 30, 2024; 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.