Organization Active NPI

Nursecore Management Services, LLC

  • Home Health Agency
  • Fort Worth, TX
National Provider Identifier
1154429538
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
005223 Issued in TX
Legal business name
NURSECORE MANAGEMENT SERVICES, LLC
Practice address
2517 8TH Ave
Ste 101
Fort Worth, TX 76110-2538
Phone
(817) 926-2355
Fax
(817) 926-1160
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Deborah Lollar
Title
President / Ceo
Phone
(817) 649-1166

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 005223 TX Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2517 8TH Ave
Ste 101
Fort Worth, TX 76110-2538

Mailing address

PO Box 201925
Arlington, TX 76006-1925
Phone (817) 649-1166

Other identifiers 1

IdentifierTypeStateIssuer
HH076HOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • NURSECORE OF FORT WORTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nursecore Management Services LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1154429538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201925",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760061925",
            "telephone_number": "817-649-1166",
            "fax_number": "817-649-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 8TH AVE",
            "address_2": "STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761102538",
            "telephone_number": "817-926-2355",
            "fax_number": "817-926-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSECORE MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "LOLLAR",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "817-649-1166"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "005223",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH076H",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NURSECORE OF FORT WORTH",
            "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 Feb 3, 2023; 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.