Organization Active NPI

Unlimited Faith, Inc.

  • Skilled Nursing Facility
  • Fort Worth, TX
National Provider Identifier
1306843974
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
114174 Issued in TX
Legal business name
UNLIMITED FAITH, INC.
Practice address
4515 Village Creek Rd
Fort Worth, TX 76119-4158
Phone
(817) 451-8704
Fax
(817) 451-0048
NPI assigned
Jun 28, 2005
Last updated
Mar 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Howard G Caver
Title
Ceo/President
Phone
(817) 451-8704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 114174 TX Primary

Addresses

Primary practice location

4515 Village Creek Rd
Fort Worth, TX 76119-4158

Mailing address

4515 Village Creek Rd
Fort Worth, TX 76119-4158
Phone (817) 451-8704

Other identifiers 3

IdentifierTypeStateIssuer
001012976MedicaidTX
HH431SOtherTXBCBS
179974401MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Fort Worth Skilled Care LLC2 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.

Locations

4515 Village Creek Rd
Ft Worth, TX 76119
Phone (817) 451-8704

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1306843974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 VILLAGE CREEK RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761194158",
            "telephone_number": "817-451-8704",
            "fax_number": "817-451-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 VILLAGE CREEK RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761194158",
            "telephone_number": "817-451-8704",
            "fax_number": "817-451-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED FAITH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "CAVER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "817-451-8704"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "114174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012976",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH431S",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179974401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 29, 2010; 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.