Central Fort Worth TX Caregiving LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CENTRAL FORT WORTH TX CAREGIVING LLC

Practice address

6777 Camp Bowie Blvd Ste 313
Fort Worth, TX 76116-7150

Phone

(817) 934-4915

NPI assigned

Jul 29, 2022

Organization subpart

Yes

Parent organization

CORNERSTONE CAREGIVING LLCAs reported in NPPES

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

Authorized official

Name

Michael Hillman

Title

Founder

Phone

(800) 410-2570

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Caregiving Other name

Part of

Cornerstone Caregiving LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cornerstone Caregiving LLC

  • In Home Supportive Care Agency
  • Waco, TX
  • NPI 1548882418
  NPPES parent name

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1114653292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 WASHINGTON AVE STE 1",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 CAMP BOWIE BLVD STE 313",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167150",
            "telephone_number": "817-934-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FORT WORTH TX CAREGIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNERSTONE CAREGIVING LLC",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "HILLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "800-410-2570"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Caregiving",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.