LADY BUTTERFLY IN HOME SENIOR CARE (NPI# 1487091302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487091302 |
| Entity Type | Organization |
| Organization Name | LADY BUTTERFLY IN HOME SENIOR CARE |
| Practice Address |
712 Sandy Trl Fort Worth TX 76120-2460 |
| Practice Telephone | 8175042702 |
| Practice Fax Number | 8174929937 |
| Mailing Telephone | 8175042702 |
| Mailing Fax Number | 8174929937 |
| Enumeration Date | 2013-06-01 |
| Last Update Date | 2013-06-01 |
| Authorized Official Name | MRS. VANESSA D LEWIS (OWNER) |
| Authorized Official Telephone | 8175042702 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
712 SANDY TRL |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76120-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104328673 | Kushum Pokharel | Nurse Practitioner | 9036 Sunridge Circle Apt 236, Fort Worth, TX 76120 | 2018-03-01 |
| 1033636865 | Ehc Institutional LLC | Clinic/Center | 1251 Eastchase Pkwy, Fort Worth, TX 76120 | 2017-08-23 |
| 1205352770 | Jessica Racheel Ferguson | Counselor | 2684 Gardendale Drive, Fort Worth, TX 76120 | 2017-08-16 |
| 1114313772 | John Allen Baker | Registered Nurse | 809 Newport Rd, Fort Worth, TX 76120 | 2015-04-10 |
| 1629475637 | Marklin Holdings Pllc | Dentist | 1476 Eastchase Pkwy, Fort Worth, TX 76120 | 2014-11-20 |
| 1730223793 | Positive Health Managment, Inc. | Clinic/Center | 6816 Manhattan Blvd, Fort Worth, TX 76120 | 2007-02-16 |
| 1487677357 | Fine Spine LLC | Family Medicine | 709 East Loop 820, Fort Worth, TX 76120 | 2006-07-25 |
| 1720045784 | Josie Elizabeth Estes | Psychiatry & Neurology | 7525 John T White, Fort Worth, TX 76120 | 2006-04-26 |
| 1841271772 | Theresa Kellam | Psychologist | 2201 Dottie Lynn Parkway, Suite 127, Fort Worth, TX 76120 | 2005-11-08 |
| 1891208088 | Professional Ehc Eastchase LLC | Emergency Medicine | 1251 Eastchase Pkwy, Fort Worth, TX 76120 | 2017-11-09 |
| Find all providers in zip 76120 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245882588 | Home of Champions | Assisted Living Facility | 7816 Whitney Ln, Fort Worth, TX 76112-6168 | 2019-07-16 |
| 1609378603 | Ridglea Senior Living 2015, LLC | Assisted Living Facility | 4109 Westridge Ave, Fort Worth, TX 76116-7410 | 2018-03-06 |
| 1235657008 | Genesis Gardens, Inc. | Assisted Living Facility | 174 Sycamore School Rd, Fort Worth, TX 76134-5008 | 2017-08-31 |
| 1760914469 | Southwest Ltc - Fort Worth Alf, LLC | Assisted Living Facility | 6931 River Park Cir, Fort Worth, TX 76116-8465 | 2017-03-31 |
| 1558893701 | Southwest Ltc - Fort Worth Alf, LLC | Assisted Living Facility | 6939 River Park Cir, Fort Worth, TX 76116-8465 | 2017-03-28 |
| 1649533910 | All In All Home Healthcare Agency | Assisted Living Facility | 5938 Bayside Dr, Fort Worth, TX 76132-2645 | 2012-06-20 |
| 1477832681 | Circle of Helping Hands LLC | Assisted Living Facility | 6405 Greenbriar Lane, Fort Worth, TX 76132-3037 | 2011-08-05 |
| 1043505175 | Angels Haven, LLC | Assisted Living Facility | 2724 Calico Rock Dr, Fort Worth, TX 76131-2034 | 2011-06-16 |
| 1174816912 | Griffin Manor | Assisted Living Facility | 1428 Queens Brook Ln, Fort Worth, TX 76140-5747 | 2011-05-26 |
| 1407180292 | Chritian Love Foundation | Assisted Living Facility | 6325 Vel Dr, Fort Worth, TX 76112-8035 | 2009-09-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76120 |
Please comment or provide details below to improve the information on LADY BUTTERFLY IN HOME SENIOR 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.