Organization Active NPI

Forney Adult Day Care

  • Health Service Clinic/Center
  • Forney, TX
National Provider Identifier
1386145043
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
FORNEY ADULT DAY CARE
Practice address
700 W Broad St
Forney, TX 75126-9118
Phone
(469) 602-5892
NPI assigned
Feb 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Mr. Marcus Carr
Title
Administrator
Phone
(469) 602-5892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

700 W Broad St
Forney, TX 75126-9118

Mailing address

700 W Broad St
Forney, TX 75126-9118
Phone (469) 602-5892

National Provider Directory

National Provider Directory

Locations

700 W Broad St
Forney, TX 75126
Phone (469) 602-5892

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1386145043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W BROAD ST",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751269118",
            "telephone_number": "469-602-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W BROAD ST",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751269118",
            "telephone_number": "469-602-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORNEY ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-602-5892",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.