Organization Active NPI

Kindred Transitional Care Ridgemar

  • Health Maintenance Organization
  • Fort Worth, TX
National Provider Identifier
1730460692
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1073 Issued in OK
Legal business name
KINDRED TRANSITIONAL CARE RIDGEMAR
Practice address
6600 Lands End CT
Fort Worth, TX 76116-2100
Phone
(435) 764-2888
NPI assigned
Sep 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Mr. Lyle Black, PT
Title
Rehab Director
Phone
(435) 764-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 1073 OK Primary

Addresses

Primary practice location

6600 Lands End CT
Fort Worth, TX 76116-2100

Mailing address

6600 Lands End CT
Fort Worth, TX 76116-2100
Phone (435) 764-2888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1730460692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 LANDS END CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761162100",
            "telephone_number": "435-764-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 LANDS END CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761162100",
            "telephone_number": "435-764-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED TRANSITIONAL CARE RIDGEMAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "LYLE",
        "authorized_official_title_or_position": "REHAB DIRECTOR",
        "authorized_official_telephone_number": "435-764-2888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OK",
            "license": "1073",
            "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 Sep 6, 2011; 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.