FORT WORTH MANOR
NPI 1598752495
Skilled Nursing Facility in Fort Worth, TX

NPI Status: Active since October 05, 2005

Contact Information

4900 E BERRY ST
FORT WORTH, TX
ZIP 76105
Phone: (817) 531-3707
Fax: (817) 536-1648

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  • Organization
  • Skilled Nursing Facility

About FORT WORTH MANOR

This page provides the complete NPI Profile along with additional information for Fort Worth Manor, a provider established in Fort Worth, Texas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1598752495 assigned on October 2005. The practitioner's primary taxonomy code is 314000000X with license number 113559 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Fort Worth Manor. The authorized official of this NPI record is Ms. Marie Lawson (Administrator)

NPI
1598752495
Provider Legal Name
LEGACY LIVING CENTERS
Other Organization Name
FORT WORTH MANOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4900 E BERRY ST FORT WORTH, TX 76105
Location Phone
(817) 531-3707
Location Fax
(817) 536-1648
Mailing Address
4900 E BERRY ST FORT WORTH, TX 76105
Mailing Phone
(817) 531-3707
Mailing Fax
(817) 536-1648
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
113559
License State
TX
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MARIE LAWSON

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(817) 531-3707

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1598752495
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251881454418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 4 + 5 + 4 + 4 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1598752495 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518418128ROBERT MARRIOTT MEDICAL CORP
Organization
Surgery4900 E BERRY ST
FORT WORTH, TX 76105
(877) 878-3289
1588725592FWM HEALTHCARE, LLC DBA FT. WORTH MANOR
Organization
Nursing Facility/Intermediate Care Facility4900 E BERRY ST
FT WORTH, TX 76105
(817) 531-3707
1023778420ADVANTAGE SURGICAL AND WOUND CARE TEXAS PA
Organization
Surgery4900 E BERRY ST
FORT WORTH, TX 76105
(877) 878-3289

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598752495, enumerated in the NPI registry as an "organization" on October 05, 2005

The provider is located at 4900 E Berry St Fort Worth, Tx 76105 and the phone number is (817) 531-3707

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

This NPI record was last updated on October 05, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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