Active NPI
Christian Care House Calls LLC
- Family Medicine Physician
- Fort Worth, TX
National Provider Identifier
1275901340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P2012
- Legal business name
- CHRISTIAN CARE HOUSE CALLS LLC
- Practice address
- 135 Treetop Dr
Fort Worth, TX 76126-5587 - Phone
- (817) 372-9200
- NPI assigned
- Sep 8, 2015
- 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
- Donald Webster
- Title
- Partner / Director of Marketing
- Phone
- (817) 629-2258
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P2012 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 617313 | TX |
Addresses
Primary practice location
135 Treetop Dr
Fort Worth, TX 76126-5587
Mailing address
PO Box 761
Aledo, TX 76008-0761
Phone (817) 372-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2103398 | Christian Care House Calls, LLC | Certificate of waiver | Oct 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
7204 Highway 287
Arlington, TX 76001
Phone (817) 563-6287
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Ft. Worth, TX
- NPI 1720075690
-
- Family Nurse Practitioner
- Aledo, TX
- NPI 1902021850
-
- Nurse Practitioner
- Fort Worth, TX
- NPI 1255074076
-
- Nurse Practitioner
- Burleson, TX
- NPI 1912778275
-
- Physician Assistant
- Fort Worth, TX
- NPI 1073606810
-
- Family Nurse Practitioner
- Abilene, TX
- NPI 1174108401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441670400000",
"number": "1275901340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 761",
"city": "ALEDO",
"state": "TX",
"postal_code": "760080761",
"telephone_number": "817-372-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 TREETOP DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761265587",
"telephone_number": "817-372-9200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN CARE HOUSE CALLS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-08",
"last_updated": "2015-09-08",
"status": "A",
"authorized_official_last_name": "WEBSTER",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "PARTNER / DIRECTOR OF MARKETING",
"authorized_official_telephone_number": "817-629-2258"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "P2012",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "617313",
"primary": false
}
],
"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 Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.