LANE'S ASSISTED LIVING FACILITY LLC


Address: 2617 Carolina Dr, Fort Worth, TX 76123-1661
Phone: 8176890125

LANE'S ASSISTED LIVING FACILITY LLC (NPI# 1588806798) 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) 1588806798
Entity Type Organization
Organization Name LANE'S ASSISTED LIVING FACILITY LLC
Practice Address 2617 Carolina Dr
Fort Worth
TX 76123-1661
Mailing Address 4937 Madyson Ridge Dr
Fort Worth
TX 76133-3847
Practice Telephone 8176890125
Mailing Telephone 8176909307
Enumeration Date 2009-04-02
Last Update Date 2009-04-02
Authorized Official Name MRS. TOLECHIA V LANE (BUSINESS MANAGER)
Authorized Official Telephone 8176909307
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility TX Nursing & Custodial Care Facilities

Office Location

Street Address 2617 CAROLINA DR
City FORT WORTH
State TX
Zip Code 76123-1661

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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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
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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
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1174816912 Griffin Manor Assisted Living Facility 1428 Queens Brook Ln, Fort Worth, TX 76140-5747 2011-05-26
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Competitor

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City FORT WORTH
Zip Code 76123

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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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