Organization Active NPI

River Oaks Nursing and Rehabilitation LTC Partners, Inc.

  • Skilled Nursing Facility
  • Fort Worth, TX
National Provider Identifier
1063069656
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Aug 20, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4979MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0677662River Oaks Nursing & Rehabilitation2416 NW 18TH Street, Fort Worth, TX 76106Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.