NPIMap

Organization Active NPI

AIDS Healthcare Foundation Texas Inc

Doing business as AHF Texas

  • Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1104190115
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AIDS HEALTHCARE FOUNDATION TEXAS INC
Doing business as
AHF Texas
Practice address
400 N Beach St
Suite 104
Fort Worth, TX 76111-7010
Phone
(817) 831-1750
Fax
(817) 831-1753
NPI assigned
Mar 8, 2012
Last updated
Sep 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Donna Stidham
Title
Chief, Managed Care
Phone
(323) 436-5025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

400 N Beach St
Suite 104
Fort Worth, TX 76111-7010

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other names 1

  • AHF Texas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130401000449 TX Part B Supplier - Clinic/Group Practice 5991940520 Receives reassigned benefits from 32 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Austin, TX; Katy, TX; Houston, TX; Ft Worth, TX; Dallas, TX

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

518A Castro St
San Francisco, CA 94114
Phone (415) 255-2720

150 Lockwood Ave
Ste LL-1
New Rochelle, NY 10801
Phone (914) 632-4442

877 E Main St
Ste 100
Riverhead, NY 11901

25 Perlman Dr
Spring Valley, NY 10977
Phone (845) 426-7577

7777 Forest Ln
Ste 122
Dallas, TX 75230

400 N Beach St
Ste 1
Fort Worth, TX 76111

400 N Beach St
Ft Worth, TX 76111
Phone (817) 335-1994

1213 Hermann Dr
Houston, TX 77004
Phone (713) 512-0017

1213 Hermann Dr
Ste 620
Houston, TX 77004
Phone (713) 520-6360

7400 Fannin St
Ste 1118
Houston, TX 77054
Phone (713) 797-9276

7400 Fannin St
Ste 1118A
Houston, TX 77054

7400 Fannin St
Ste 118
Houston, TX 77054

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1104190115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "833-241-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BEACH ST",
            "address_2": "SUITE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761117010",
            "telephone_number": "817-831-1750",
            "fax_number": "817-831-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS HEALTHCARE FOUNDATION TEXAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "STIDHAM",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CHIEF, MANAGED CARE",
        "authorized_official_telephone_number": "323-436-5025"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHF Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AHF Texas",
            "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 Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.