Fort Healthcare LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

FORT HEALTHCARE LLC

Practice address

5833 Oakbend Trail
#200
Fort Worth, TX 76132-3900

Phone

(817) 678-7428

NPI assigned

Sep 30, 2019

Organization subpart

No

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

Authorized official

Name

Benard A Sodek III

Title

Controller

Phone

(817) 678-7428

Specialties & licenses 3

Addresses

Tax ID family

Fort Behavioral2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fort Healthcare LLC

  • Substance Abuse Rehabilitation Facility
  • Ft Worth, TX
  • NPI 1003305418
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Faye Martinez, LCSW

  • Clinical Social Worker
  • Arlington, TX
  • NPI 1417519851
  NPD

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1306487426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 OAKMONT BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323900",
            "telephone_number": "817-678-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 OAKBEND TRAIL",
            "address_2": "#200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323900",
            "telephone_number": "817-678-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "SODEK",
        "authorized_official_first_name": "BENARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "817-678-7428",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandace Forooshani-Ficklin
• Clara Sue Forrester, CPNP
• Alyssa Nicole Forsyth
• Fort Austin Limited Partnership
• Fort Healthcare LLC
• Fort Physicians & Professionals PLLC
• Fort Physicians & Professionals PLLC
• Fort Wellness, PLLC
• Fort Worth Allergy and Asthma Associates, LLP
• Fort Worth Birthing & Wellness Center

• Psychiatric Residential Treatment Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Psychiatric Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.