Fort Worth West Side LTD
Organization Active NPI Skilled Nursing Facility · White Settlement, TX
NPI 1285935650 · NPPES record last updated Jan 3, 2011
Key facts
- NPI
- 1285935650
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- FORT WORTH WEST SIDE LTD
- Practice address
- 1950 S Las Vegas TRL
White Settlement, TX 76108-3350 - Phone
- (817) 246-4995
- NPI assigned
- Nov 16, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Dick Stebbins
- Title
- Manager of General Partner
- Phone
- (903) 757-5360
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1950 S Las Vegas TRL
White Settlement, TX 76108-3350
Mailing address
600 E Whaley St
Longview, TX 75601-6525
Phone (903) 757-5360
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5204 | Medicaid | TX |
Other names
- WEST SIDE CAMPUS OF CARE
Other providers in White Settlement, TX
- Coryell County Memorial Hospital Authority
- Steven Jacob Cross
- Janel Duval
- Julie Simone Ehmsen
- Christina Michelle79 Ethridge
- Rebecca Gedeon
- Kelsie Gentry
- Anthony Giang
- Lesley Gorley
- Delia Harris
All providers in White Settlement, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.