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BLACK HEART ASSOCIATION
NPI 1720756844
Clinic/Center - Community Health in Fort Worth, TX

Active since September 02, 2021CLIA 45D2283844 · Waiver
5151 GREENLEE ST, FORT WORTH, TX 76112(817) 683-8859 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Black Heart Association NPPES

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

BLACK HEART ASSOCIATION (NPI 1720756844) is a healthcare organization registered as a community health in Fort Worth, Texas and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Tara Robinson, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1720756844
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameBLACK HEART ASSOCIATION
Location Address5151 GREENLEE STFort Worth, TX 76112-4881
Mailing Address1029 Kaylie StGrand Prairie, TX 75052-7152 · (817) 683-8859
Phone(817) 683-8859
Organization SubpartNo
Authorized OfficialTara RobinsonClinic Director · (817) 683-8859
Enumeration DateSeptember 2, 2021
Last NPPES UpdateOctober 12, 2021
NPPES CertifiedOctober 12, 2021
✔ NPI 1720756844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
5151 GREENLEE ST, Fort Worth, TX 76112
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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 45D2283844

Black Heart Association · Grand Prairie, TX
Active · expires Jun 12, 2027
CLIA Number45D2283844
Laboratory TypeMobile Laboratory
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorTara P. Robinson
Laboratory Phone(972) 646-0031
Laboratory LocationBlack Heart Association1029 Kaylie St, Grand Prairie, TX 75052
CLIA data matches this NPI record on: Address Name
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 Black Heart Association's NPI number?

The NPI number for Black Heart Association is 1720756844. It was assigned to this organization in the NPPES registry on September 2, 2021.

Where is Black Heart Association located?

Black Heart Association is located at 5151 Greenlee St, Fort Worth, TX 76112. The listed phone number is (817) 683-8859.

What is Black Heart Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Black Heart Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2283844) is associated with this NPI, valid through June 12, 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 Black Heart Association was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.