Organization Active NPI

Lady Butterfly in Home Senior Care

  • Assisted Living Facility
  • Fort Worth, TX
National Provider Identifier
1487091302
Registry record updated Jun 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LADY BUTTERFLY IN HOME SENIOR CARE
Practice address
712 Sandy TRL
Fort Worth, TX 76120-2460
Phone
(817) 504-2702
Fax
(817) 492-9937
NPI assigned
Jun 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2013

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

Authorized official

Name
Mrs. Vanessa D Lewis
Title
Owner
Phone
(817) 504-2702

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

712 Sandy TRL
Fort Worth, TX 76120-2460

Mailing address

712 Sandy TRL
Fort Worth, TX 76120-2460
Phone (817) 504-2702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370044800000",
    "number": "1487091302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 SANDY TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202460",
            "telephone_number": "817-504-2702",
            "fax_number": "817-492-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 SANDY TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202460",
            "telephone_number": "817-504-2702",
            "fax_number": "817-492-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY BUTTERFLY IN HOME SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-01",
        "last_updated": "2013-06-01",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-504-2702",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "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 Jun 1, 2013; 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.