Individual provider Active NPI

Christopher Jones, LICENSE PROVIDER

  • Assisted Living Facility
  • Fort Worth, TX
National Provider Identifier
1790251593
Registry record updated Mar 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
146250 Issued in TX
Practice address
6405 Greenbriar LN
Fort Worth, TX 76132-3037
Phone
(817) 991-2768
Fax
(817) 534-5771
NPI assigned
Oct 18, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 146250 TX Primary

Addresses

Primary practice location

6405 Greenbriar LN
Fort Worth, TX 76132-3037

Mailing address

6405 Greenbriar LN
Fort Worth, TX 76132-3037
Phone (817) 991-2768

Other practice location 1

6901 Wicks Trl
Fort Worth, TX 76133-5029
Phone (817) 991-2768

Other identifiers 3

IdentifierTypeStateIssuer
1477832681OtherTXNPI
453547300OtherTXTAX ID
310400000XOtherTXTAXONOMY

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

State licenses

LicenseStateTypeSpecialty
146250TXMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Circle of Helping Hands LLC Assisted Living Facility 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1790251593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 GREENBRIAR LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323037",
            "telephone_number": "817-991-2768",
            "fax_number": "817-534-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 GREENBRIAR LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323037",
            "telephone_number": "817-991-2768",
            "fax_number": "817-534-5771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 Wicks Trl",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761335029",
            "country_code": "US",
            "telephone_number": "817-991-2768",
            "fax_number": "817-534-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHRISTOPHER",
        "credential": "LICENSE PROVIDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-18",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "146250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477832681",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "453547300",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "310400000X",
            "state": "TX"
        }
    ],
    "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 Mar 20, 2022; 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.