Beverly Diane Ellis
NPI 1639316912 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fort Worth, TX
Beverly Diane Ellis is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Fort Worth, TX (NPI 1639316912).
Provider details
- NPI number
- 1639316912
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Beverly Ellis, Ceo(817) 534-5480
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2009-01-08
- Last updated
- 2009-01-08
Frequently asked questions
- What is Beverly Diane Ellis's NPI number?
- Beverly Diane Ellis's National Provider Identifier (NPI) is 1639316912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beverly Diane Ellis?
- Beverly Diane Ellis is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Beverly Diane Ellis located?
- Beverly Diane Ellis's practice location on file with NPPES is 420 Tierney Rd, Fort Worth, TX 76112-6324.
- What is Beverly Diane Ellis's phone number?
- The practice phone number listed in the NPPES registry for Beverly Diane Ellis is (817) 534-5480.
- Who is the authorized official for Beverly Diane Ellis?
- The authorized official listed on Beverly Diane Ellis's NPPES record is Beverly Ellis, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beverly Diane Ellis's NPI active?
- Yes — Beverly Diane Ellis's NPI (1639316912) is active in the NPPES registry as of the last update on 2009-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.