Organization Active NPI

Easter Seals North Texas Inc.

  • Case Management Agency
  • Fort Worth, TX
National Provider Identifier
1376751404
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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)CodeLicenseStatePrimary
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 Autism3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

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

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.

Verify at the official NPI Registry.