DECATUR HOSPITAL AUTHORITY (NPI# 1043613748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043613748 |
| Entity Type | Organization |
| Organization Name | DECATUR HOSPITAL AUTHORITY |
| Other Organization Name | KINDRED TRANSITIONAL CARE AND REHABILITATION-RIDGMAR |
| Practice Address |
6600 Lands End Ct Fort Worth TX 76116-2100 |
| Practice Telephone | 8176651971 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | STEPHEN M SUMMERS (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 9406275921 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE CCN | 67-6101 | 01 |
| Other Name | Type Code |
|---|---|
| Kindred Transitional Care and Rehabilitation-Ridgmar | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407229529 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2015-11-11 |
| 1033508536 | Decatur Hospital Authority | Clinic/Center | 600 E Bailey Boswell Rd, Suite 100, Saginaw, TX 76131-3565 | 2015-01-21 |
| 1336543081 | Decatur Hospital Authority | Skilled Nursing Facility | 1005 Ira E. Woods Parkway, Grapevine, TX 76051-4018 | 2014-10-09 |
| 1679895163 | Decatur Hospital Authority | Skilled Nursing Facility | 850 12th Ave., Fort Worth, TX 76104-2516 | 2010-02-24 |
| 1275690216 | Decatur Hospital Authority | Psychiatric Unit | 2000 South Fm 51, Decatur, TX 76234 | 2007-01-02 |
| 1730242538 | Decatur Hospital Authority | Clinic/Center | 2150 S Fm 51, Decatur, TX 76234 | 2006-12-19 |
| 1033153762 | Decatur Hospital Authority | Skilled Nursing Facility | 5801 Bryant Irvin Rd, Fort Worth, TX 76132 | 2006-06-15 |
| 1598726358 | Decatur Hospital Authority | Skilled Nursing Facility | 601 Midwestern Pkwy E, Wichita Falls, TX 76302-2401 | 2006-03-31 |
| 1427682137 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2020-03-03 |
| 1053945766 | Decatur Hospital Authority | General Acute Care Hospital | 609 Medical Center Dr, Decatur, TX 76234-3836 | 2020-03-03 |
| Street Address |
6600 LANDS END CT |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76116-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225091127 | Hmg Ridgemar Snf Operations, Lp | Skilled Nursing Facility | 6600 Lands End Ct, Fort Worth, TX 76116-2100 | 2006-04-11 |
| 1730460692 | Kindred Transitional Care Ridgemar | Health Maintenance Organization | 6600 Lands End Ct, Fort Worth, TX 76116-2100 | 2011-09-06 |
| 1801067269 | Mspf-iv Ridgemar Oe, Lp | Skilled Nursing Facility | 6600 Lands End Ct, Fort Worth, TX 76116-2100 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
| 1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
| 1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
| 1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
| 1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
| Find all providers in zip 76116 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467973404 | Moc Fort Worth LLC | Skilled Nursing Facility | 6301 Oakmont Blvd, Fort Worth, TX 76132-2814 | 2017-06-29 |
| 1669929642 | Eastland Memorial Hospital District | Skilled Nursing Facility | 4240 Golden Triangle Boulevard, Fort Worth, TX 76244 | 2016-09-07 |
| 1326594052 | Stockyards Healthcare, Inc. | Skilled Nursing Facility | 6301 Oakmont Boulevard, Fort Worth, TX 76132 | 2016-09-01 |
| 1770972572 | Dallas County Hospital District | Skilled Nursing Facility | 7021 Bryant Irvin Rd, Fort Worth, TX 76132-4243 | 2015-01-15 |
| 1497172514 | Stephens Memorial Hospital District | Skilled Nursing Facility | 306 W 7th Strret Suite 430, Fort Worth, TX 76102 | 2014-03-26 |
| 1245662675 | Performance Care Centers LLC | Skilled Nursing Facility | 7021 Bryant Irvin Road, Fort Worth, TX 76132 | 2013-08-08 |
| 1881968808 | Fw Senior Community Ltd Co | Skilled Nursing Facility | 4600 Heritage Trace Pkwy, Fort Worth, TX 76244-8900 | 2012-03-08 |
| 1750679098 | Tarrant County Senior Living Center, Inc. | Skilled Nursing Facility | 2501 Museum Way, Fort Worth, TX 76107-3057 | 2011-07-20 |
| 1386949220 | Remarkable Healthcare of Fort Worth, Lp | Skilled Nursing Facility | 6649 North Riverside Drive, Fort Worth, TX 76137 | 2011-01-25 |
| 1679895163 | Decatur Hospital Authority | Skilled Nursing Facility | 850 12th Ave., Fort Worth, TX 76104-2516 | 2010-02-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76116 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.