Quilted Care--Texas, Limited Partnership

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000964 Issued in TX

Legal business name

QUILTED CARE--TEXAS, LIMITED PARTNERSHIP

Doing business as

Tandy Village

Practice address

2601 Tandy Ave
Fort Worth, TX 76103-2552

Phone

(817) 535-1253

Fax

(817) 536-0177

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Thomas J Witt Jr.

Title

Managing Member

Phone

(505) 797-8735

Specialties & licenses 1

Addresses

Other names 1

• Tandy Village Doing business as

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346375631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 TANDY AVENUE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76103",
            "telephone_number": "817-535-1253",
            "fax_number": "817-536-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 TANDY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761032552",
            "telephone_number": "817-535-1253",
            "fax_number": "817-536-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUILTED CARE--TEXAS, LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "505-797-8735",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "000964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tandy Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.