Organization Active NPI

Quality Senior Housing Foundation of East Texas Inc

Doing business as Autumn Wind

  • Assisted Living Facility
  • Fort Worth, TX
National Provider Identifier
1942878087
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
QUALITY SENIOR HOUSING FOUNDATION OF EAST TEXAS INC
Doing business as
Autumn Wind
Practice address
930 W 1St St Ste 400
Fort Worth, TX 76102-2743
Phone
(817) 454-5561
NPI assigned
Jun 15, 2021
Last updated
Jun 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Katie Bailey
Title
Assistant Vpo
Phone
(817) 454-5561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

930 W 1St St Ste 400
Fort Worth, TX 76102-2743

Mailing address

1004 E Coke Rd # B
Winnsboro, TX 75494-3536
Phone (817) 454-5561

Other names 1

  • Autumn Wind Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1942878087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E COKE RD # B",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754943536",
            "telephone_number": "817-454-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W 1ST ST STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022743",
            "telephone_number": "817-454-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY SENIOR HOUSING FOUNDATION OF EAST TEXAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "ASSISTANT VPO",
        "authorized_official_telephone_number": "817-454-5561"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Wind",
            "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 Jun 15, 2021; 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.