G ROBERTS ADULT DAY CARE (NPI# 1316497118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316497118 |
| Entity Type | Organization |
| Organization Name | G ROBERTS ADULT DAY CARE |
| Practice Address |
150 S Beach St # A Fort Worth TX 76105-1162 |
| Practice Telephone | 8173077210 |
| Practice Fax Number | 8173865445 |
| Mailing Telephone | 8173077210 |
| Mailing Fax Number | 8173865445 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2017-03-21 |
| Authorized Official Name | MRS. CHERYL THOMPSON-ROBERTS (OWNER) |
| Authorized Official Telephone | 8173077210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERIGROUP | 105275 | 01 |
| Street Address |
150 S BEACH ST # A |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76105-1162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083148373 | Robert Jackson Sr. | Specialist | 150 S Beach St # A, Fort Worth, TX 76105-1162 | 2017-04-13 |
| 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 |
| 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 |
| 1194912352 | Heritage Adult Day Health Services, Inc. | Clinic/Center | 150 S Beach St, Suite A, Fort Worth, TX 76105-1162 | 2007-10-01 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76105 |
Please comment or provide details below to improve the information on G ROBERTS ADULT DAY CARE.
| 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.