LONNIE WOODS (NPI# 1619305612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619305612 |
| Entity Type | Individual |
| Full Name | LONNIE WOODS |
| Practice Address |
5025 E Berry St Fort Worth TX 76119-2239 |
| Mailing Address |
914 Belclaire Cir Cedar Hill TX 75104-1238 |
| Practice Telephone | 2172779516 |
| Practice Fax Number | 2142779516 |
| Mailing Telephone | 2142779516 |
| Mailing Fax Number | 9722910032 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
75-2515490 | TX | Nursing & Custodial Care Facilities |
| Street Address |
5025 E BERRY ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76119-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
| 1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
| 1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
| 1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
| 1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
| 1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
| 1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
| 1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
| Find all providers in zip 76119 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105924 | Beezway Inc | Custodial Care Facility | 6100 Verandas Cir Apt 837, Fort Worth, TX 76132-4166 | 2020-08-20 |
| 1790163228 | Banc Management & Services | Custodial Care Facility | 10300 Tammaron Trl, Fort Worth, TX 76140-6602 | 2015-05-17 |
| 1750781217 | Kinship Place | Custodial Care Facility | 6201 Windermere Pl, Fort Worth, TX 76112-3131 | 2014-09-02 |
| 1295144079 | Strain Helping Hands Care LLC | Custodial Care Facility | 7605 Hollow Point Dr, Fort Worth, TX 76123-2119 | 2014-08-06 |
| 1215353545 | Comfortable Living | Custodial Care Facility | 1828 Wurzburg Dr, Fort Worth, TX 76134-3341 | 2014-03-11 |
| 1487091302 | Lady Butterfly In Home Senior Care | Custodial Care Facility | 712 Sandy Trl, Fort Worth, TX 76120-2460 | 2013-06-01 |
| 1841537495 | Rehab Care | Custodial Care Facility | 1700 Saxony Rd, Fort Worth, TX 76116 | 2013-01-15 |
| 1588968895 | Shalitha Shelby | Custodial Care Facility | 3917 Orlando Springs Dr, Fort Worth, TX 76123-1485 | 2010-12-29 |
| 1225330483 | Yvette Darlene Clater | Custodial Care Facility | 8159 Marydean Ave, Fort Worth, TX 76116-3610 | 2010-11-21 |
| 1780986943 | Rochelle S Wilson | Custodial Care Facility | 8501 Gatlinburg Dr, Fort Worth, TX 76123-1745 | 2010-11-21 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76119 |
Please comment or provide details below to improve the information on LONNIE WOODS.
| 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.