AUTUMN LEAVES OF CITYVIEW
NPI 1316210552
Assisted Living Facility in Ft Worth, TX

Q: What is Southwest Fort Worth Memory Care, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since February 20, 2012CLIA 45D2233404 · Waiver

7100 DUTCH BRANCH RD, FT WORTH, TX 76132(817) 769-3800(817) 769-3801 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Autumn Leaves Of Cityview NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN LEAVES OF CITYVIEW (NPI 1316210552) is a healthcare organization registered as an assisted living facility in Ft Worth, Texas and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Chad Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1316210552

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSOUTHWEST FORT WORTH MEMORY CARE, LLC

Location Address7100 DUTCH BRANCH RDFt Worth, TX 76132-6111

Mailing Address545 E John Carpenter Fwy, Suite 500Irving, TX 75062-3931 · (214) 845-4500 · Fax (214) 845-4501

Phone(817) 769-3800

Fax(817) 769-3801

Organization SubpartNo

Authorized OfficialChad AndersonPresident · (214) 845-4500

Enumeration DateFebruary 20, 2012

✔ NPI 1316210552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in TX · 104331

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

7100 DUTCH BRANCH RD, Ft Worth, TX 76132

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Other Names 1

Doing Business AsAutumn Leaves Of Cityview

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2233404

Autumn Leaves Of Cityview · Fort Worth, TX

Active · expires Aug 22, 2027

CLIA Number45D2233404

Laboratory TypeAssisted Living Facility

Certificate Effective DateAugust 23, 2025

Certificate Expiration DateAugust 22, 2027

Laboratory DirectorJessica Akaah

Laboratory Phone(817) 769-3800

Laboratory LocationAutumn Leaves Of Cityview7100 Dutch Branch Rd, Fort Worth, TX 76132

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwest Fort Worth Memory Care, LLC's NPI number?

The NPI number for Southwest Fort Worth Memory Care, LLC is 1316210552. It was assigned to this organization in the NPPES registry on February 20, 2012. The provider is doing business as Autumn Leaves Of Cityview.

Where is Southwest Fort Worth Memory Care, LLC located?

Southwest Fort Worth Memory Care, LLC is located at 7100 Dutch Branch Rd, Ft Worth, TX 76132. The listed phone number is (817) 769-3800.

What is Southwest Fort Worth Memory Care, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Southwest Fort Worth Memory Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2233404) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southwest Fort Worth Memory Care, LLC was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.