Organization Active NPI

Westside Caregivers, LLC

  • Home Health Agency
  • Fort Worth, TX
National Provider Identifier
1275920159
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WESTSIDE CAREGIVERS, LLC
Practice address
1212 W El Paso St
Fort Worth, TX 76102-5907
Phone
(817) 560-3975
Fax
(866) 931-1601
NPI assigned
Apr 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Authorized official

Name
Mrs. Karen Dell Williams, RN
Title
President
Phone
(817) 991-7253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1212 W El Paso St
Fort Worth, TX 76102-5907

Mailing address

118 Bear Path TRL
Fort Worth, TX 76126-9691
Phone (817) 991-7253

Other identifiers 1

IdentifierTypeStateIssuer
32056914545OtherTXTEXAS TAXPAYER NUMBER

National Provider Directory

National Provider Directory

Locations

1212 W El Paso St
Fort Worth, TX 76102
Phone (817) 560-3975

NPI Registry JSON

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

{
    "created_epoch": "1429315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1275920159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BEAR PATH TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761269691",
            "telephone_number": "817-991-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 W EL PASO ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025907",
            "telephone_number": "817-560-3975",
            "fax_number": "866-931-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE CAREGIVERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "DELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-991-7253",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS TAXPAYER NUMBER",
            "identifier": "32056914545",
            "state": "TX"
        }
    ],
    "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 Apr 18, 2019; 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.