Active NPI
River Oaks Nursing and Rehabilitation LTC Partners, Inc.
- Skilled Nursing Facility
- Fort Worth, TX
National Provider Identifier
1063069656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RIVER OAKS NURSING AND REHABILITATION LTC PARTNERS, INC.
- Practice address
- 2416 NW 18TH St
Fort Worth, TX 76106-6604 - Phone
- (545) 481-7626
- Fax
- (866) 354-8161
- NPI assigned
- Aug 20, 2019
- 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
- Mr. Louis Frederick Nicholson III
- Title
- President
- Phone
- (832) 489-9944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2416 NW 18TH St
Fort Worth, TX 76106-6604
Mailing address
2416 NW 18TH St
Fort Worth, TX 76106-6604
Phone (545) 481-7626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4979 | Medicaid | TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0677662 | River Oaks Nursing & Rehabilitation | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566259200000",
"number": "1063069656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2416 NW 18TH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761066604",
"telephone_number": "545-481-7626",
"fax_number": "866-354-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2416 NW 18TH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761066604",
"telephone_number": "545-481-7626",
"fax_number": "866-354-8161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER OAKS NURSING AND REHABILITATION LTC PARTNERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-20",
"last_updated": "2019-08-20",
"status": "A",
"authorized_official_last_name": "NICHOLSON",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "FREDERICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "832-489-9944",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4979",
"state": "TX"
}
],
"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 Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.