OrganizationActive
Caregiver Mn, LLC
NPI 1295448074 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fort Worth, TX
Provider details
- NPI number
- 1295448074
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Anna Todd, Operations Business Manager(800) 299-5161
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4800 Overton Plz Ste 440
Fort Worth, TX 76109-4435
Phone: (800) 299-5161
Street-level locationGet directions
Mailing address
4800 Overton Plz Ste 440
Fort Worth, TX 76109-4435
Registry dates
- Enumerated
- 2022-12-27
- Last updated
- 2022-12-27
- Certified
- 2022-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.