HERITAGE ADULT DAY HEALTH SERVICES, INC. (NPI# 1194912352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194912352 |
| Entity Type | Organization |
| Organization Name | HERITAGE ADULT DAY HEALTH SERVICES, INC. |
| Practice Address |
150 S Beach St Suite A Fort Worth TX 76105-1162 |
| Mailing Address |
Po Box 50069 Fort Worth TX 76105-0069 |
| Practice Telephone | 8175341935 |
| Practice Fax Number | 8175310282 |
| Mailing Telephone | 8175341935 |
| Mailing Fax Number | 8175310282 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |
| Authorized Official Name | MS. JOHNNIE MARIE BENSON (CONSULTANT) |
| Authorized Official Telephone | 8178812929 |
| Authorized Official Credential | B.S.-L.N.H.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
001536 | TX | Ambulatory Health Care Facilities |
| Street Address |
150 S BEACH ST SUITE A |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76105-1162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619231974 | Heritage East Adult Daycare Center, Inc. | Clinic/Center | 150 S Beach St, Fort Worth, TX 76105-1162 | 2012-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1366935165 | National Vision, Inc. | Technician/Technologist | 2644 East Berry Street, Fort Worth, TX 76105 | 2018-06-07 |
| 1609363100 | Courtney Mae Gramley | Specialist/Technologist | 1201 Wesleyan St., Fort Worth, TX 76105 | 2018-04-19 |
| 1992213078 | Fresenius Medical Care Se Fort Worth, LLC | Clinic/Center | 3708 E Rosedale St, Fort Worth, TX 76105 | 2018-01-11 |
| 1285978692 | Wal-mart Stores Texas LLC | Technician/Technologist | 2900 Renaissance Square, Fort Worth, TX 76105 | 2012-11-26 |
| 1548584998 | Access Dental of Berry, P.a. | Dentist | 4201 E. Berry Street, Suite #15, Fort Worth, TX 76105 | 2010-03-15 |
| 1811211261 | Access Dental of Rosedale P.a. | Dentist | 3620 E. Rosedale Street, Fort Worth, TX 76105 | 2010-03-15 |
| 1396345799 | Danielle Hampton | Pharmacist | Walmart Pharmacy, 2900 Renaissance Square, Fort Worth, TX 76105 | 2020-10-27 |
| 1174041578 | Destonee Wilson | Physician Assistant | 1650 S Beach St, Fort Worth, TX 76105 | 2017-09-06 |
| 1184019929 | Sheelarani Joseph | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105 | 2015-03-30 |
| Find all providers in zip 76105 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164913752 | Chelsea Lajuan Whitehead | Clinic/Center | 237 Hallbrook Dr, Fort Worth, TX 76134-3931 | 2018-05-20 |
| 1720515059 | David Leon Mims | Clinic/Center | 1412 Roma Ln, Fort Worth, TX 76134-2304 | 2017-05-17 |
| 1316497118 | G Roberts Adult Day Care | Clinic/Center | 150 S Beach St # A, Fort Worth, TX 76105-1162 | 2016-10-05 |
| 1669737912 | Trinity River Adult Daycare Center, Inc. | Clinic/Center | 401 N Riverside Dr, Fort Worth, TX 76111 | 2012-07-11 |
| 1508123498 | Five Star Adult Day Care | Clinic/Center | 4401 Foard St, Fort Worth, TX 76119-3305 | 2012-04-16 |
| 1861709594 | Southside Adult Daycare Center, Inc. | Clinic/Center | 1700 South Fwy, Fort Worth, TX 76104-5078 | 2010-09-01 |
| 1659555738 | Northside Adult Daycare Center, Inc. | Clinic/Center | 1401 Clinton Ave, Fort Worth, TX 76106 | 2007-12-24 |
| 1922287655 | D. B. Montgomery Choice, LLC | Clinic/Center | 4131 Hardeman St, Fort Worth, TX 76119-3636 | 2007-10-30 |
| 1730593476 | Pci Adult Daycare, LLC | Clinic/Center | 6050 Harris Pkwy, Fort Worth, TX 76132-4102 | 2014-06-19 |
| 1619231974 | Heritage East Adult Daycare Center, Inc. | Clinic/Center | 150 S Beach St, Fort Worth, TX 76105-1162 | 2012-07-01 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76105 |
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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.