Active NPI
Samantha Alford
- Home Health Aide
- Fort Worth, TX
National Provider Identifier
1124694385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1900 Country Manor Rd
Fort Worth, TX 76134-3507 - Phone
- (168) 225-9015
- NPI assigned
- May 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1900 Country Manor Rd
Fort Worth, TX 76134-3507
Mailing address
1900 Country Manor Rd
Fort Worth, TX 76134-3507
Phone (682) 259-0155
Other practice location 1
4508 Malbourgh
Fort Worth, TX 76134
Phone (682) 259-0155
Other practice location 2
1236 Burmeister Rd
Fort Worth, TX 76134-3705
Phone (682) 259-0155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1124694385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 COUNTRY MANOR RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761343507",
"telephone_number": "682-259-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 COUNTRY MANOR RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761343507",
"telephone_number": "168-225-9015"
}
],
"practiceLocations": [
{
"address_1": "4508 Malbourgh",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "76134",
"country_code": "US",
"telephone_number": "682-259-0155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1236 Burmeister Rd",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761343705",
"country_code": "US",
"telephone_number": "682-259-0155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALFORD",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-28",
"last_updated": "2021-05-28",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 May 28, 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.