Mobilemed Pas Division

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

MOBILEMED PAS DIVISION

Practice address

4000 Ellenboro LN
Fort Worth, TX 76244-4368

Phone

(866) 616-6333

NPI assigned

Nov 20, 2025

Organization subpart

Yes

Parent organization

MOBILEMED DNA LLCAs reported in NPPES

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

Authorized official

Name

Carolyn Johnson

Title

Owner / Ceo

Phone

(866) 616-6333

Specialties & licenses 1

Addresses

Part of

Mobilemed Pas Division

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1720949688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 E 2ND ST, STE 7000",
            "address_2": "#17696",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094308",
            "telephone_number": "866-616-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ELLENBORO LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444368",
            "telephone_number": "866-616-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILEMED PAS DIVISION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOBILEMED DNA LLC",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "866-616-6333"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.