MOTHERS' MILK BANK OF NORTH TEXAS, INC.
NPI 1548394679
Dietary Manager in Fort Worth, TX
NPI Status: Active since March 14, 2007
Contact Information
1300 W LANCASTER AVE
SUITE 108
FORT WORTH, TX
ZIP 76102
Phone: (817) 810-0071
Fax: (817) 810-0087
- Organization
- Dietary Manager
- CLIA Number: 45D0886935
- CLIA Cert. Type: Other
- CLIA Exp. Date: 05-31-2026
About MOTHERS' MILK BANK OF NORTH TEXAS, INC.
This page provides the complete NPI Profile along with additional information for Mothers' Milk Bank Of North Texas, Inc., a provider established in Fort Worth, Texas operating as a Dietary Manager. The healthcare provider is registered in the NPI registry with number 1548394679 assigned on March 2007. The practitioner's primary taxonomy code is 132700000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Susan Sward-comuenlli Md (President Of The Board Of Direstors)
- NPI
- 1548394679
- Provider Name
- MOTHERS' MILK BANK OF NORTH TEXAS, INC.
- Entity Type
- Organization
- Location Address
- 1300 W LANCASTER AVE SUITE 108 FORT WORTH, TX 76102
- Location Phone
- (817) 810-0071
- Location Fax
- (817) 810-0087
- Mailing Address
- 1300 W LANCASTER AVE SUITE 108 FORT WORTH, TX 76102
- Mailing Phone
- (817) 810-0071
- Mailing Fax
- (817) 810-0087
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-14-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietary Manager
- Taxonomy Code
- 132700000X
- Type
- Dietary & Nutritional Service Providers
- Taxonomy Description
- A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251K00000X | Agencies | Public Health or Welfare |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0886935
- Facility Type
- Other
- Certificate Effective Date
- June 01, 2024
- Certificate Expiration Date
- May 31, 2026
- Laboratory Director
- CHARLES J. PELLETIER LI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mothers' Milk Bank Of North Texas, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1548394679, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 81. The final step is to find the difference between that total and the next multiple of ten (90 - 81 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 81 is 90. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT WORTH, TX 76102
FORT WORTH, TX 76102
FORT WORTH, TX 76102
FORT WORTH, TX 76102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548394679, enumerated as an "organization" on March 14, 2007.
The provider is located at 1300 W LANCASTER AVE SUITE 108 FORT WORTH, TX 76102 and the phone number is (817) 810-0071.
Dietary Manager with taxonomy code 132700000X.
