Organization Active NPI

Barbara'S Haven LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fort Worth, TX
National Provider Identifier
1750144358
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
BARBARA'S HAVEN LLC
Doing business as
Golden Years Community Living
Practice address
151 Chateau Dr
Fort Worth, TX 76134-4603
Phone
(682) 221-3568
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Barbara L WhiteNPI 1194423046
Title
Owner
Phone
(682) 221-3568

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
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

151 Chateau Dr
Fort Worth, TX 76134-4603

Mailing address

4421 Stone Mountain Dr
Fort Worth, TX 76123-1885
Phone (682) 221-3568

Other names 1

  • Golden Years Community Living Doing business as

National Provider Directory

National Provider Directory

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": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1750144358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 STONE MOUNTAIN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231885",
            "telephone_number": "682-221-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 CHATEAU DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761344603",
            "telephone_number": "682-221-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA'S HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-221-3568"
    },
    "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": [
        {
            "organization_name": "Golden Years Community Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Years Community Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 3, 2024; 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.