Regency Hospital of Fort Worth, LLLP

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

008392 Issued in TX

Legal business name

REGENCY HOSPITAL OF FORT WORTH, LLLP

Practice address

6801 Oakmont Boulevard
Fort Worth, TX 76132

Phone

(770) 754-5232

Fax

(770) 776-5321

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Michael Tarvin

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 452099

Legal name

REGENCY HOSPITAL OF FORT WORTH LLLP

Certification status

Terminated Voluntary: merger or closure, Jul 7, 2016

Provider type (POS)

Hospital – Long-term

Participating since

Apr 1, 2007

Last certification

Apr 1, 2007

Beds

44

Ownership / control type

Private (for profit)

Facility address

6801 Oakmont Blvd
Fort Worth, TX 76132

Hospital certification: CCN 670015

Legal name

REGENCY HOSPITAL OF FORT WORTH LLP

Certification status

Terminated Other: provider status change, Apr 1, 2007

Provider type (POS)

Hospital – Short-term

Participating since

Sep 29, 2006

Last certification

Sep 29, 2006

Beds

44

Ownership / control type

Private (for profit)

Facility address

6801 Oakmont Blvd
Fort Worth, TX 76132

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1205884491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DPT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 OAKMONT BOULEVARD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "770-754-5232",
            "fax_number": "770-776-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HOSPITAL OF FORT WORTH, LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "TX",
            "license": "008392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191816101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy L Reeves, RN
• Refugio Senior Center
• Refugio Senior Center LLC
• Alice Alexandra Regalado, M.S., CF-SLP
• Regen Health Texas, PLLC
• Regency IHS Pharmacy Services LLC
• Regenerative Wellness Solutions Inc
• Jennifer Wright Regian
• Natalie Marie Muller Regian, DO
• David Dean Regier, ATC

• Long Term Care Hospital in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Long Term Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.