BOUNTIFUL COMMUNITY HOME HEALTH L.L.C.


Address: 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355
Phone: 8175864314

BOUNTIFUL COMMUNITY HOME HEALTH L.L.C. (NPI# 1316471436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316471436
Entity Type Organization
Organization Name BOUNTIFUL COMMUNITY HOME HEALTH L.L.C.
Practice Address 5601 Bridge St Ste 300
Fort Worth
TX 76112-2355
Mailing Address 5601 Bridge Street
300
Fort Worth
TX 76112-2355
Practice Telephone 8175864314
Practice Fax Number 8174899174
Mailing Telephone 8175864314
Mailing Fax Number 8174899174
Enumeration Date 2017-04-14
Last Update Date 2019-08-22
Authorized Official Name MS. TIMIERA CHANTEL CLARK (OWNER/ADMINISTRATOR)
Authorized Official Telephone 8179028085
Authorized Official Credential S.C.O.T.A
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
N 253Z00000X In Home Supportive Care Agencies
Y 253Z00000X In Home Supportive Care TX Agencies

Office Location

Street Address 5601 BRIDGE ST STE 300
City FORT WORTH
State TX
Zip Code 76112-2355

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508176462 Lifeforce Opportunity Inc Counselor 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 2010-10-13
1124660485 Divinity Hospice, LLC Hospice Care, Community Based 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 2019-10-08
1093360802 Timiera Clark Technician 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 2019-08-08
1205488509 Angelia Joyce Hicks Counselor 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 2019-07-16
1891357661 Kenya Williamson Counselor 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 2019-07-02
1912469255 Cynthia Rivera Behavior Technician 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 2019-04-04
1083174718 Nangmoon Amanda Moua Behavior Technician 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 2019-03-20
1396257093 Dora Williams Counselor 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 2017-11-02
1710401526 Cooper Medical Solutions, LLC Durable Medical Equipment & Medical Supplies 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 2017-08-02
1083085070 Yakia Collier Adult Companion 5601 Bridge St Ste 300, Fort Worth, TX 76112 2015-10-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396211397 Shelia Minor Home Health Aide 5648 Victoria Place, Fort Worth, TX 76112 2018-10-17
1457833816 Joanne Medford Physical Therapy Assistant 1704 Wilson Rd, Fort Worth, TX 76112 2018-09-02
1821525502 Kids & Hugs Home Therapy Home Health 2317 Maryel Dr., Fort Worth, TX 76112 2017-05-12
1932516846 Neuroassessment Services LLC Clinical Neuropsychologist 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 2014-07-14
1114346335 Blessed Beginnings Day Training, Developmentally Disabled Services 2320 Blue Smoke Court North, Fort Worth, TX 76112 2014-04-15
1790035517 Transitions for Success Inc In Home Supportive Care 6228 Warrington Pl Ace, Fort Worth, TX 76112 2012-09-19
1194048116 Jerlene Bonner Tippett Home Health Aide 1701 Bunch Dr, Ft Worth, TX 76112 2010-03-04
1396076543 Roy Kenji Yamada Emergency Medicine 5800 Forest Bend Pl., Ft. Worth, TX 76112 2010-01-27
1437488228 Rose A Miller Case Manager/Care Coordinator 7312 Laurie Drive, Ft. Worth, TX 76112 2009-12-08
1174760508 Advocate Angels Case Management 6829 Gary Lane, Fort Worth, TX 76112 2009-01-07
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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174121321 Angels Helping Angels Home Care In Home Supportive Care 6850 Manhattan Blvd # 704, Fort Worth, TX 76120-1227 2020-10-10
1215544382 Home Care In Gods Holy Hand LLC In Home Supportive Care 6308 Winifred Dr, Fort Worth, TX 76133-3425 2020-09-23
1548876592 Chrysolite Precious Homecare In Home Supportive Care 3556 Vela Ln Apt 5209, Fort Worth, TX 76137-2276 2020-09-16
1013521848 Ft Worth Tx Caregiving LLC In Home Supportive Care 6777 Camp Bowie Blvd Ste 331, Fort Worth, TX 76116-7196 2020-08-31
1790397255 Su-san Cannon Spain In Home Supportive Care 1712 Wurzburg Dr, Fort Worth, TX 76134-3320 2020-08-17
1295359453 Alexandria Lewis In Home Supportive Care 3121 Evangeline Rd, Fort Worth, TX 76140-8648 2020-06-03
1407493273 Johnson's Gentle Care LLC In Home Supportive Care 7632 Trey Riata Dr Apt 124, Fort Worth, TX 76123-4825 2019-11-29
1295378651 National Hand In Hand In Home Services, LLC In Home Supportive Care 4303 Longmeadow Way, Fort Worth, TX 76133-7405 2019-10-17
1083261267 Aamope Care Corp In Home Supportive Care 6934 South Fwy, Fort Worth, TX 76134-3802 2019-08-21
1730747304 A Sharp Clean & Specialty Services LLC In Home Supportive Care 4851 Dunlap Dr, Fort Worth, TX 76119-4667 2019-05-30
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Competitor

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City FORT WORTH
Zip Code 76112

Improve Information

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Dataset Information

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.

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