Active NPI
Easter Seals North Texas Inc.
- Case Management Agency
- Fort Worth, TX
National Provider Identifier
1376751404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- EASTER SEALS NORTH TEXAS INC.
- Practice address
- 6900 Anderson Blvd Ste 104
Fort Worth, TX 76120-3030 - Phone
- (817) 332-7171
- Fax
- (817) 665-0878
- NPI assigned
- May 21, 2007
- Last updated
- Oct 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Khoury
- Title
- Cfo
- Phone
- (212) 727-4270
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
6900 Anderson Blvd Ste 104
Fort Worth, TX 76120-3030
Mailing address
633 3Rd Ave FL 6
New York, NY 10017-6733
Phone (817) 542-1988
National Provider Directory
National Provider Directory- Tax ID family
- DFW Center for Autism
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Dallas, TX
- NPI 1578807533
-
- Behavior Analyst
- Grapevine, TX
- NPI 1689841751
Locations
6900 Anderson Blvd
Ste 104
Fort Worth, TX 76120
Phone (817) 332-7171
303 W Nash St
Grapevine, TX 76051
Phone (817) 424-9797
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Dallas, TX
- NPI 1043549389
-
- Behavior Analyst
- Houston, TX
- NPI 1033500343
-
- Speech-Language Pathologist
- Grapevine, TX
- NPI 1003025735
-
- Behavior Analyst
- North Richland Hills, TX
- NPI 1104068212
-
- Speech-Language Pathologist
- Carrollton, TX
- NPI 1376223636
-
- Behavior Analyst
- Irving, TX
- NPI 1508009259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729555200000",
"number": "1376751404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 3RD AVE FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176733",
"telephone_number": "817-542-1988",
"fax_number": "817-303-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 ANDERSON BLVD STE 104",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761203030",
"telephone_number": "817-332-7171",
"fax_number": "817-665-0878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTER SEALS NORTH TEXAS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "KHOURY",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "212-727-4270"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Robert Harlan Easley, CRNA
- Ashli East, M.ED., LPC
- Eastchase Mighty PLLC (Mighty Smiles)
- Eastchase Texas Emergency Center, LLC
- Christie Eastep, RD, LD
- Jared Easterling, MD
- Larry E Easterling, MD
- Eastland Memorial Hospital District (Avir at Fort Worth)
- Eastland Memorial Hospital District (Legend Oaks Healthcare and Rehabilitation-Fort Worth)
- Eastland Memorial Hospital District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.