Active NPI
Cassandra Robert, RN
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fort Worth, TX
National Provider Identifier
1669252102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Practice address
- 361 Heirloom Dr
Fort Worth, TX 76134-3950 - Phone
- (682) 301-2042
- NPI assigned
- Oct 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
361 Heirloom Dr
Fort Worth, TX 76134-3950
Mailing address
9213 Saint Martin Rd
Fort Worth, TX 76123-3517
Phone (682) 301-2042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Up Living Home LLC | Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Fort Worth, TX
- NPI 1639943947
Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1669252102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9213 SAINT MARTIN RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761233517",
"telephone_number": "682-301-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 HEIRLOOM DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761343950",
"telephone_number": "682-301-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERT",
"first_name": "CASSANDRA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"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 Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.