Jussafe Adult Foster Care

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

JUSSAFE ADULT FOSTER CARE

Practice address

8945 Preakness Cir
Fort Worth, TX 76123-3582

Phone

(214) 680-4815

NPI assigned

Apr 16, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Kristina M Roberts-Wynn

Title

Owner

Phone

(214) 680-4815

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1417273350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 PREAKNESS CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761233582",
            "telephone_number": "214-680-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 PREAKNESS CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761233582",
            "telephone_number": "214-680-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSSAFE ADULT FOSTER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTS-WYNN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-680-4815",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.