Active NPI
Nursecore Management Services, LLC
- Home Health Agency
- Fort Worth, TX
National Provider Identifier
1154429538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 005223
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HH076H | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- NURSECORE OF FORT WORTH
National Provider Directory
National Provider Directory- Tax ID family
- Nursecore Management Services LLC
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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.