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ST. JOHN'S RESIDENTIAL CARE HOME INC.
NPI 1437997731
Assisted Living Facility in Fort Worth, TX

Active since July 19, 2024CLIA 45D2203804 · Waiver
4448 MALLOW OAK DR, FORT WORTH, TX 76123(817) 361-0559(817) 361-9244 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. John's Residential Care Home Inc. NPPES

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

ST. JOHN'S RESIDENTIAL CARE HOME INC. (NPI 1437997731) is a healthcare organization registered as an assisted living facility in Fort Worth, Texas and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through December 5, 2026 and lists Judith Tan-pascual, Owner, Ceo, President, as its authorized official.

NPPES Registry Identity

NPI1437997731
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameST. JOHN'S RESIDENTIAL CARE HOME INC.
Location Address4448 MALLOW OAK DRFort Worth, TX 76123-2734
Mailing Address4448 Mallow Oak DrFort Worth, TX 76123-2734 · (817) 361-0559 · Fax (817) 361-9244
Phone(817) 361-0559
Fax(817) 361-9244
Organization SubpartNo
Authorized OfficialJudith Tan-pascualOwner, Ceo, President · (817) 680-5171
Enumeration DateJuly 19, 2024
NPPES CertifiedJuly 19, 2024
✔ NPI 1437997731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
4448 MALLOW OAK DR, Fort Worth, TX 76123
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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 45D2203804

St John's Residential Care Homes, Inc · Fort Worth, TX
Active · expires Dec 5, 2026
CLIA Number45D2203804
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorJudith C. Tan-Pascual
Laboratory Phone(817) 361-0559
Laboratory LocationSt John's Residential Care Homes, Inc4448 Mallow Oak Dr, Fort Worth, TX 76123
CLIA data matches this NPI record on: Address 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 St. John's Residential Care Home Inc.'s NPI number?

The NPI number for St. John's Residential Care Home Inc. is 1437997731. It was assigned to this organization in the NPPES registry on July 19, 2024.

Where is St. John's Residential Care Home Inc. located?

St. John's Residential Care Home Inc. is located at 4448 Mallow Oak Dr, Fort Worth, TX 76123. The listed phone number is (817) 361-0559.

What is St. John's Residential Care Home Inc.'s specialty?

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

Does St. John's Residential Care Home Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2203804) is associated with this NPI, valid through December 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. John's Residential Care Home Inc. was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.