NPIMap

Organization Active NPI

Maxus Healthcare Partners LLC

  • In Home Supportive Care Agency
  • Fort Worth, TX
National Provider Identifier
1043694094
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAXUS HEALTHCARE PARTNERS LLC
Practice address
1021 Washington Ave Ste 201
Fort Worth, TX 76104-3021
Phone
(817) 769-8296
Fax
(817) 796-1285
NPI assigned
Jul 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Freda Kelley
Title
VP
Phone
(806) 340-8176

Specialties & licenses 1

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

Addresses

Primary practice location

1021 Washington Ave Ste 201
Fort Worth, TX 76104-3021

Mailing address

1021 Washington Ave Ste 201
Fort Worth, TX 76104-3021
Phone (817) 769-8296

Other names 2

  • Renew Home Health Doing business as
  • Renew Senior Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maxus Healthcare Partners LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1021 Washington Ave
Ste 201
Fort Worth, TX 76104
Phone (817) 769-8296

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1043694094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 WASHINGTON AVE STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043021",
            "telephone_number": "817-769-8296",
            "fax_number": "817-796-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 WASHINGTON AVE STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043021",
            "telephone_number": "817-769-8296",
            "fax_number": "817-796-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXUS HEALTHCARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "FREDA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "806-340-8176"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renew Senior Care",
            "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 Nov 13, 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.

Verify at the official NPI Registry.