Fort Worth West Side LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FORT WORTH WEST SIDE LTD

Doing business as

West Side Campus of Care

Practice address

1950 S Las Vegas TRL
White Settlement, TX 76108-3350

Phone

(817) 246-4995

NPI assigned

Nov 16, 2010

Last updated

Jan 3, 2011By 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

Dr. Dick Stebbins

Title

Manager of General Partner

Phone

(903) 757-5360

Specialties & licenses 1

Addresses

Other names 1

• WEST SIDE CAMPUS OF CARE Doing business as

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1285935650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E WHALEY ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016525",
            "telephone_number": "903-757-5360",
            "fax_number": "903-753-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S LAS VEGAS TRL",
            "city": "WHITE SETTLEMENT",
            "state": "TX",
            "postal_code": "761083350",
            "telephone_number": "817-246-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH WEST SIDE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "STEBBINS",
        "authorized_official_first_name": "DICK",
        "authorized_official_title_or_position": "MANAGER OF GENERAL PARTNER",
        "authorized_official_telephone_number": "903-757-5360",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST SIDE CAMPUS OF CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coryell County Memorial Hospital Authority (West Side Campus of Care)
• Steven Jacob Cross, DMD
• Janel Duval
• Julie Simone Ehmsen, PT, DPT
• Christina Michelle79 Ethridge, LMT
• Rebecca Gedeon, LABOR DOULA
• Kelsie Gentry
• Anthony Giang, PHARMD
• Lesley Gorley
• Delia Harris, M.S., CCC-SLP

• Skilled Nursing Facility in White Settlement, TX
• Providers in White Settlement, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.