Strawberry Creek Outreach Center, Inc.

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

STRAWBERRY CREEK OUTREACH CENTER, INC.

Doing business as

Strawberry Creek Pediatric Services

Practice address

6401 Lucerne Dr
Ft Worth, TX 76135-9605

Phone

(817) 819-6475

Fax

(206) 350-4401

NPI assigned

Sep 27, 2010

Last updated

Jul 9, 2020By 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

Mr. Daniel R. Hill, M.ED.

Title

President

Phone

(817) 819-6475

Specialties & licenses 1

Addresses

Other names 1

• Strawberry Creek Pediatric Services Doing business as

Tax ID family

Strawberry Creek Outreach Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Strawberry Creek Outreach Center

  • Home Health Aide
  • Hurst, TX
  • NPI 1467835181
  NPD tax ID

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1386953214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 LUCERNE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761359605",
            "telephone_number": "817-819-6475",
            "fax_number": "206-350-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 LUCERNE DR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761359605",
            "telephone_number": "817-819-6475",
            "fax_number": "206-350-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAWBERRY CREEK OUTREACH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-819-6475",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strawberry Creek Pediatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carren Nyasuguta Stratford, LVN
• Kevin James Strathdee, D.C.
• Jedidiah Stratton, ATC, LAT
• Nathan Samuel Stratton, MD
• Chasity Straughter, LCSW
• Ashley M Strawther, LCSW
• Streamline Medical Management LLC
• Sarah Lois Strebeck, MD
• Brock C Street, PA-C
• Kayce Rene Street, WHNP-BC

• Private Vehicle in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Private Vehicle in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.