Fort Worth Health Rejuvenation

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

FORT WORTH HEALTH REJUVENATION

Practice address

3253 Desert Storm Rd
Fort Worth, TX 76127-1029

Phone

(267) 206-1184

NPI assigned

Oct 29, 2013

Last updated

Oct 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Naomi Lewis

Title

Co Owner/Cna

Phone

(609) 349-0015

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1275961328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 DESERT STORM RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761271029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 DESERT STORM RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761271029",
            "telephone_number": "267-206-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH HEALTH REJUVENATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "CO OWNER/CNA",
        "authorized_official_telephone_number": "609-349-0015"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Worth Foot Clinic (Fort Worth Med Ex)
• Fort Worth Foot Clinic
• Fort Worth Hand Center
• Fort Worth Head Neck and Jaw PLLC (Ried Physical Therapy)
• Fort Worth Health Alliance, LLC
• Fort Worth Health, LLC
• Fort Worth Healthcare Systems LLC
• Fort Worth Heart, P.a.
• Fort Worth HK Group Health, LLC
• Fort Worth I Enterprises, LLC (Healthy Images of Texas)

• Nursing Facility/Intermediate Care Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.