Thi of Texas at Forth Worth LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THI OF TEXAS AT FORTH WORTH LLC

Practice address

8001 Western Hills Blvd
Fort Worth, TX 76108-3524

Phone

(817) 246-4953

NPI assigned

Apr 30, 2009

Organization subpart

No

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

Authorized official

Name

Lezlie Michael

Title

President

Phone

(817) 246-4953

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Courtyards at Fort Worth Doing business as

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1598909897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 WESTERN HILLS BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761083524",
            "telephone_number": "817-246-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF TEXAS AT FORTH WORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "LEZLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-246-4953"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID RESPITE PROVIDER NUMBER",
            "identifier": "001012264",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Courtyards at Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Kellam, PH.D.
• Rachel Leigh Theriault, M.D.
• Mary Theuer, LPC
• Shaederrica Theus
• Thi of Texas at Fort Worth, LLC
• Tran Thi, PA
• Chandler N Thibodaux, P.A
• Verne Anthony Thibodeaux Jr., PHARM.D
• Holly Lynne Thiebaud, RN
• Avery Thies

• 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 Apr 30, 2009; 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.