OrganizationActive
Fort Worth Senior Care, LLC
NPI 1952133886 · Physical Disabilities Residential Treatment Facility · Fort Worth, TX
Provider details
- NPI number
- 1952133886
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cynthia Matheny, Authorized Signatory(423) 883-7920
Specialties & taxonomies
Residential Treatment Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Practice location
5100 Randol Mill Rd
Fort Worth, TX 76112-1553
Phone: (817) 548-3200
Approximate (ZIP-level) locationGet directions
Mailing address
5100 Randol Mill Rd
Fort Worth, TX 76112-1553
Other names (DBA / former)
- Doing business as
- Lakewood Village Personal Care Unit
- Doing business as
- Lakewood Village Personal Care Unit
Registry dates
- Enumerated
- 2024-08-19
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.