ELITE HEALTHCARE FORT WORTH (NPI# 1295972990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295972990 |
Entity Type | Organization |
Organization Name | ELITE HEALTHCARE FORT WORTH |
Other Organization Name | TARRANT COUNTY & REHABILITATION |
Practice Address |
112 N. Beach St. Fort Worth TX 76111 |
Mailing Address |
Po Box 1353 Frisco TX 75034 |
Practice Telephone | 8177274690 |
Practice Fax Number | 8177274695 |
Mailing Telephone | 9727209943 |
Mailing Fax Number | 9727200115 |
Enumeration Date | 2009-01-16 |
Last Update Date | 2014-07-10 |
Authorized Official Name | DR. JAMES A. MITCHELL (DOCTOR) |
Authorized Official Telephone | 9727209943 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT1107050 | TX | Ambulatory Health Care Facilities |
N | 111N00000X | Chiropractor | DC8314 | TX | Chiropractic Providers |
N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
DC11291 | TX | Chiropractic Providers |
Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
DC11291 | TX | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Tarrant County & Rehabilitation | Former Legal Business Name - Organization |
Street Address |
112 N. BEACH ST. |
City | FORT WORTH |
State | TX |
Zip Code | 76111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306330543 | True Rx LLC | Pharmacy | 4045 E Belknap St Ste 10, Haltom City, TX 76111 | 2018-06-20 |
1538656988 | Dc Dental Associates of Fort Worth Pllc | Dentist | 1114 North Beach Street, Fort Worth, TX 76111 | 2018-04-20 |
1417403262 | Shauna Woody | Specialist/Technologist | 1101 Yucca Ave, Fort Worth, TX 76111 | 2016-08-31 |
1285180018 | Eve Investments LLC | Non-emergency Medical Transport (VAN) | 3513 E Belknap St, Fort Worth, TX 76111 | 2016-08-31 |
1851773857 | Mini Apple Dental Enterprise Pllc | Dentist | 911 N Sylvania Ave, #150, Fort Worth, TX 76111 | 2015-06-25 |
1376953471 | Priya Vinothini Colluru | Dentist | 3913, Wheeler's Street, Fort Worth, TX 76111 | 2014-04-29 |
1669737912 | Trinity River Adult Daycare Center, Inc. | Clinic/Center | 401 N Riverside Dr, Fort Worth, TX 76111 | 2012-07-11 |
1649507708 | Vicki Van Mai | Pharmacist | 3809 E. Belknap St., Fort Worth, TX 76111 | 2009-11-11 |
1124234885 | Psychotherapy Services & Yokefellows | Counselor | 159 N. Riverside Dr, Fort Worth, TX 76111 | 2007-05-16 |
1104044544 | Bill Houston Puryear | Family Medicine | 4010 East Belknap, Fort Worth, TX 76111 | 2007-04-23 |
Find all providers in zip 76111 |
Taxonomy Code | 261QR0401X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801052469 | Universal Health Rehab Services, Inc | Clinic/Center | 1200 Country Club Ln, Fort Worth, TX 76112-2353 | 2008-08-04 |
1730223793 | Positive Health Managment, Inc. | Clinic/Center | 6816 Manhattan Blvd, Fort Worth, TX 76120 | 2007-02-16 |
1154343291 | Kass Inc | Clinic/Center | 2817 Stark St, Suite D, Fort Worth, TX 76112-6562 | 2006-07-25 |
1386647634 | Advanced Neurological Services | Clinic/Center | 2755 Alta Mesa Blvd, Fort Worth, TX 76133-5803 | 2005-05-31 |
1114382975 | Kass | Clinic/Center | 2817 Stark St, Fort Worth, TX 76112-6562 | 2015-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447807615 | Rise Up Rehab, LLC | Clinic/Center | 1687 Old Hwy 90, Castroville, TX 78009 | 2019-08-22 |
1346897709 | Rise Up Rehab, LLC | Clinic/Center | 10410 Parrigin Rd, Helotes, TX 78023-4283 | 2019-08-21 |
1376016410 | Elite 360 Health and Wellness | Clinic/Center | 1409 S Lamar, Ste. 245, Dallas, TX 75215-6818 | 2019-01-10 |
1902333792 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 21004 Interstate 45 N, Spring, TX 77373-2917 | 2017-05-11 |
1023544418 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 5095 Preston Ave, Pasadena, TX 77505-2053 | 2017-05-04 |
1871029264 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 4818 E Sam Houston Pkwy N, Houston, TX 77015-3240 | 2017-05-04 |
1356793509 | Individual | Clinic/Center | 3500 Timberwood Cir Apt 2137, Arlington, TX 76015-3129 | 2016-07-11 |
1801242839 | Transitional Learning Center At Galveston | Clinic/Center | 4416 10th St, Lubbock, TX 79416-4800 | 2016-05-09 |
1225401805 | Milestones | Clinic/Center | 2704 S 26th St, Mcallen, TX 78503-7812 | 2015-11-04 |
1326421173 | Costa Therapy Institute, LLC | Clinic/Center | 1058 Palm Blvd, Brownsville, TX 78520-6168 | 2015-06-29 |
Find all providers with the same taxonomy |
City | FORT WORTH |
Zip Code | 76111 |
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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.