Organization Active NPI

CK Texas Holdings Inc.

  • In Home Supportive Care Agency
  • Fort Worth, TX
National Provider Identifier
1043892706
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CK TEXAS HOLDINGS INC.
Practice address
8205 Camp Bowie West Blvd Ste 216
Fort Worth, TX 76116-6328
Phone
(817) 560-8085
Fax
(817) 560-7760
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Mr. Scott Ryan Van Duinen
Title
President/Administrator
Phone
(817) 560-8085

Specialties & licenses 1

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

Addresses

Primary practice location

8205 Camp Bowie West Blvd Ste 216
Fort Worth, TX 76116-6328

Mailing address

8205 Camp Bowie West Blvd Ste 216
Fort Worth, TX 76116-6328
Phone (817) 560-8085

Other names 1

  • Comfort Keepers Doing business as

National Provider Directory

National Provider Directory

Locations

8205 Camp Bowie West Blvd
Ste 216
Fort Worth, TX 76116
Phone (817) 560-8085

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1043892706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 CAMP BOWIE WEST BLVD STE 216",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761166328",
            "telephone_number": "817-560-8085",
            "fax_number": "817-560-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 CAMP BOWIE WEST BLVD STE 216",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761166328",
            "telephone_number": "817-560-8085",
            "fax_number": "817-560-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK TEXAS HOLDINGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "VAN DUINEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "817-560-8085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "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 Apr 22, 2021; 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.