Organization Active NPI

DWB Partner, LLC

  • In Home Supportive Care Agency
  • Fort Worth, TX
National Provider Identifier
1285045799
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DWB PARTNER, LLC
Doing business as
Visiting Angels
Practice address
1020 Summit Ave
Fort Worth, TX 76102-3422
Phone
(817) 877-1616
Fax
(817) 334-7994
NPI assigned
May 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Dale Wills Brock
Title
Owner
Phone
(817) 877-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1020 Summit Ave
Fort Worth, TX 76102-3422

Mailing address

PO Box 672
Fort Worth, TX 76101-0672
Phone (817) 877-1616

Other names 1

  • Visiting Angels Doing business as

National Provider Directory

National Provider Directory

Locations

1020 Summit Ave
Fort Worth, TX 76102
Phone (817) 877-1616

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1285045799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761010672",
            "telephone_number": "817-877-1616",
            "fax_number": "817-334-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SUMMIT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023422",
            "telephone_number": "817-877-1616",
            "fax_number": "817-334-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWB PARTNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "WILLS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-877-1616"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "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 Oct 16, 2014; 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.