Organization Active NPI

Elder Care Solution Services

  • Clinical Social Worker
  • Grapevine, TX
National Provider Identifier
1699339911
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELDER CARE SOLUTION SERVICES
Practice address
1701 W Northwest Hwy Ste 100
Grapevine, TX 76051-8145
Phone
(817) 300-4073
Fax
(817) 453-4073
NPI assigned
Apr 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Mr. Joseph Daniel Bruce, LCSWNPI 1508984758
Title
Owner
Phone
(817) 300-4073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1701 W Northwest Hwy Ste 100
Grapevine, TX 76051-8145

Mailing address

3200 Mesquite Dr
Venus, TX 76084-3279
Phone (817) 300-4073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191217001388 TX Part B Supplier - Clinic/Group Practice 0749614212 Receives reassigned benefits from 1 practitioner
Practice locations: Grapevine, TX

National Provider Directory

National Provider Directory

Locations

804 E Northwest Hwy
Ste 1B
Grapevine, TX 76051

804 E Northwest Hwy
#1B
Grapevine, TX 76051
Phone (817) 300-4073

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1699339911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MESQUITE DR",
            "city": "VENUS",
            "state": "TX",
            "postal_code": "760843279",
            "telephone_number": "817-300-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W NORTHWEST HWY STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518145",
            "telephone_number": "817-300-4073",
            "fax_number": "817-453-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER CARE SOLUTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-300-4073",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.