Manor Care of Fort Worth TX (NRH) LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

111670 Issued in TX

Legal business name

MANOR CARE OF FORT WORTH TX (NRH) LLC

Doing business as

Heartland Health Care Center-North Richland Hills

Practice address

7625 Glenview Dr
Richland Hills, TX 76180-8331

Phone

(817) 284-1427

Fax

(817) 284-2978

NPI assigned

Jun 13, 2006

Last updated

May 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartland Health Care Center-North Richland Hills Doing business as

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496102400000",
    "number": "1942243738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 GLENVIEW DR",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808331",
            "telephone_number": "817-284-1427",
            "fax_number": "817-284-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE OF FORT WORTH TX (NRH) LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-05-30",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "111670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001015398",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Health Care Center-North Richland Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hoan Ngoc Le, O.D.
• Haley J Lee
• Lighthouse Medical Services PLLC (and Hyperbaric Medicine Center of Grapevi)
• Lincare Inc.
• Sunitha Malla, MD
• Benjamin Cohen Mayfield
• Kristin Deborah McGuire, FNP
• Patrice Wanell McKay
• Mita Mehta, RPH
• Laura Mellon, L.AC.

• Skilled Nursing Facility in Richland Hills, TX
• Providers in Richland Hills, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.