KING VISION OF FORT WORTH (NPI# 1902423783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902423783 |
| Entity Type | Organization |
| Organization Name | KING VISION OF FORT WORTH |
| Practice Address |
5863 Foxglove Ln Dallas TX 75249-1625 |
| Practice Telephone | 2144762448 |
| Mailing Telephone | 2144762448 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | RONALD WOODARD (MANAGER) |
| Authorized Official Telephone | 2144762448 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
5863 FOXGLOVE LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75249-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477957405 | Amethyst Residential Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5863 Foxglove Ln, Dallas, TX 75249-1625 | 2014-10-20 |
| 1356872410 | Robert Woodard | Licensed Vocational Nurse | 5863 Foxglove Ln, Dallas, TX 75249-1625 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376192823 | Jackie D Henderson | Residential Treatment Facility, Physical Disabilities | 7041 Hedgebrook Dr, Dallas, TX 75249 | 2019-09-07 |
| 1609311497 | Tiffany Burleson | Counselor | 5859 Foxglove Ln, Dallas, TX 75249 | 2017-01-03 |
| 1245613470 | Chaquita Gibson | Social Worker | 5637 Paladium Dr, Dallas, TX 75249 | 2015-07-07 |
| 1336566462 | Patrice Moreland | Physical Therapist | 8441 Romanway Drive, Dallas, TX 75249 | 2014-03-26 |
| 1861693392 | Daybreak Community Services | Home Health | 7153 Pineberry, Dallas, TX 75249 | 2007-05-31 |
| 1518381185 | Wal-mart Stores Texas, LLC | Technician/Technologist | 7075 W Wheatland Rd, Dallas, TX 75249-0000 | 2014-02-18 |
| 1467810911 | Total Dimensions Family Services, LLC | Case Management | 7328 Bayberry Ln, Dallas, TX 75249-1013 | 2016-01-29 |
| 1225499346 | Sylvia Clark | Case Manager/Care Coordinator | 7328 Bayberry Ln, Dallas, TX 75249-1013 | 2016-03-17 |
| 1548635030 | Whitney Wofford | Health Educator | 7450 Bayberry Ln, Dallas, TX 75249-1015 | 2015-12-09 |
| 1477080463 | Lady L Overshown | Counselor | 7430 Elderberry Ln, Dallas, TX 75249-1044 | 2017-05-22 |
| Find all providers in zip 75249 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485752 | Texas Hospice Services, LLC | Hospice Care, Community Based | 2665 Villa Creek Dr Ste 202, Dallas, TX 75234-7333 | 2020-10-21 |
| 1881211779 | Encompass Health Hospice of The Southwest, LLC | Hospice Care, Community Based | 6688 N Central Expy Ste 1155, Dallas, TX 75206-3914 | 2020-06-26 |
| 1518580455 | Shenita Webb | Hospice Care, Community Based | 2451 Anzio Dr, Dallas, TX 75224-2703 | 2020-05-27 |
| 1770114548 | Ceiba Group Inc | Hospice Care, Community Based | 300 N Akard St Apt 1519, Dallas, TX 75201-3458 | 2020-01-30 |
| 1295390011 | Omega Hospice Care, LLC | Hospice Care, Community Based | 10300 N Central Expy Ste 190, Dallas, TX 75231-8627 | 2019-05-07 |
| 1083173553 | Mercedes In Home Care Agency, L.l.c | Hospice Care, Community Based | 404 Florencia Plz, Dallas, TX 75211-7692 | 2019-03-14 |
| 1114492360 | Lifecare Health Ventures, LLC | Hospice Care, Community Based | 9550 Forest Ln Ste 325, Dallas, TX 75243-6196 | 2018-10-03 |
| 1427532738 | Camellia Home Health of Alabama, LLC | Hospice Care, Community Based | 6688 N Central Expy Ste 1300, Dallas, TX 75206-3950 | 2018-09-21 |
| 1861975385 | Natural Comfort Hospice, LLC | Hospice Care, Community Based | 10935 Estate Ln # 475a, Dallas, TX 75238-2316 | 2018-09-11 |
| 1841793734 | Dedicated Hospice Care LLC | Hospice Care, Community Based | 2665 Villa Creek Dr #201, Dallas, TX 75234 | 2018-03-16 |
| Find all providers in DALLAS | ||||
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| 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.