Ford Adult Foster Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

FORD ADULT FOSTER CARE

Practice address

4901 Beacon CT
Arlington, TX 76017-6053

Phone

(817) 375-0358

Fax

(817) 453-2028

NPI assigned

Aug 25, 2007

Last updated

Aug 25, 2007By 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

Birdia Lee Ford, NURSE-LVN

Title

Adimistrator/Manager/Owner

Phone

(817) 375-0358

Specialties & licenses 1

Addresses

Other names 1

• Family Life Other name

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188000000000",
    "number": "1316130008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 BEACON CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760176053",
            "telephone_number": "817-375-0358",
            "fax_number": "817-453-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 BEACON CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760176053",
            "telephone_number": "817-375-0358",
            "fax_number": "817-453-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD ADULT FOSTER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-25",
        "last_updated": "2007-08-25",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "BIRDIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADIMISTRATOR/MANAGER/OWNER",
        "authorized_official_telephone_number": "817-375-0358",
        "authorized_official_credential": "NURSE-LVN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Life",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiani Renee Fonseca
• Demishe Fontenot, FNP
• Sadra Forati, DO
• Yvette Elaine Forbes-Baker, D.P.M.
• Kendra Forbes, LPC
• D Todd Ford, M.D.
• Jason Todd Barrett Ford
• Taylor Ford, BA
• Foresight Solutions Inc
• John W Forrester, CFSA

• Adult Care Home Facility in Arlington, TX
• Providers in Arlington, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2007; 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.