Lake Worth Investments Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

110621 Issued in TX

Legal business name

LAKE WORTH INVESTMENTS INC.

Practice address

4220 Wells Dr
Fort Worth, TX 76135-2712

Phone

(817) 237-6101

Fax

(817) 237-4864

NPI assigned

Dec 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Will Casstevens

Title

Administrator

Phone

(817) 237-6101

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1437134111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 WELLS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352712",
            "telephone_number": "817-237-6101",
            "fax_number": "817-237-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 WELLS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352712",
            "telephone_number": "817-237-6101",
            "fax_number": "817-237-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WORTH INVESTMENTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "CASSTEVENS",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-237-6101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "110621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001001122",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake Country Family Medicine, P.a.
• Lake Family and Cosmetic Dentistry
• Lake Worth Center Dental PLLC
• Lake Worth Counseling
• Lake Worth Independent School District
• Jeremy Michael Lake, PT
• Olivia Lake
• Lakeisha Braziel - Davis LLC
• Lakes Dental FW PLLC
• Joyce N Laktari, PA-C

• Skilled Nursing Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.