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
- 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
- Code Navigator
Location Map
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.
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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. | |||||||||
1 | 5 | 9 | 8 | 7 | 5 | 2 | 4 | 9 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 18 | 8 | 14 | 5 | 4 | 4 | 18 | |
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 = 5 | 5 |
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 |
---|---|---|---|
1518418128 | ROBERT MARRIOTT MEDICAL CORP Organization | Surgery | 4900 E BERRY ST FORT WORTH, TX 76105 (877) 878-3289 |
1588725592 | FWM HEALTHCARE, LLC DBA FT. WORTH MANOR Organization | Nursing Facility/Intermediate Care Facility | 4900 E BERRY ST FT WORTH, TX 76105 (817) 531-3707 |
1023778420 | ADVANTAGE SURGICAL AND WOUND CARE TEXAS PA Organization | Surgery | 4900 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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