NPIMap

Organization Active NPI

Dept of Assistive & Rehab Serv - Fort Worth Field Headquarters

  • Case Management Agency
  • Fort Worth, TX
National Provider Identifier
1952434698
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DEPT OF ASSISTIVE & REHAB SERV - FORT WORTH FIELD HEADQUARTERS
Practice address
4200 South Fwy Ste 307
Fort Worth, TX 76115-1404
Phone
(817) 759-3500
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph Payne
Title
Program Manager
Phone
(512) 424-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X TX Primary

Addresses

Primary practice location

4200 South Fwy Ste 307
Fort Worth, TX 76115-1404

Mailing address

PO Box 12866
Austin, TX 78711-2866
Phone (512) 377-0584

National Provider Directory

National Provider Directory
Tax ID family
Department of Assistive and Rehabilitative Services26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

4200 South Fwy
Ste 307
Fort Worth, TX 76115
Phone (817) 759-3500

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952434698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12866",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787112866",
            "telephone_number": "512-377-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY STE 307",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151404",
            "telephone_number": "817-759-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPT OF ASSISTIVE & REHAB SERV - FORT WORTH FIELD HEADQUARTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "512-424-4092"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": null,
            "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 Aug 22, 2020; 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.