TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH
NPI 1730278417
Long Term Care Hospital in Fort Worth, TX
NPI Status: Active since October 12, 2006
Contact Information
1301 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 882-3770
Fax: (817) 570-8199
- Organization
- Long Term Care Hospital
- Accepts Insurance
- CLIA Number: 45D0914073
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 04-18-2028
About TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH
This page provides the complete NPI Profile along with additional information for Texas Health Specialty Hospital Fort Worth, a provider established in Fort Worth, Texas operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1730278417 assigned on October 2006. The practitioner's primary taxonomy code is 282E00000X with license number 000652 (TX). The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Jeff Mincher (Senior Vp Revenue Cycle)
- NPI
- 1730278417
- Provider Name
- TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH
- Entity Type
- Organization
- Location Address
- 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104
- Location Phone
- (817) 882-3770
- Location Fax
- (817) 570-8199
- Mailing Address
- 500 E BORDER ST # 124 ARLINGTON, TX 76010
- Mailing Phone
- (800) 890-6034
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-12-2006
- Last Update Date
- 04-22-2026
- 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
Long Term Care Hospital
- Taxonomy Code
- 282E00000X
- Type
- Hospitals
- License No.
- 000652
- License State
- TX
- Taxonomy Description
- Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MyBlue Health Bronze? 402 - HMO
- MyBlue Health Bronze? Standard - HMO
- MyBlue Health Gold? 403 - HMO
- MyBlue Health Gold? Standard - HMO
- MyBlue Health Silver? 405 - HMO
- MyBlue Health Silver? Standard - HMO
- Imperial Preferred Bronze - HMO
- Imperial Preferred Gold - HMO
- Imperial Preferred Gold Zero - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| HH0915 | OTHER (01) | TX | BLUE CROSS CONTINUED CARE |
| 232200200 | OTHER (01) | TX | DEPT OF LABOR |
| HOHH091501 | OTHER (01) | TX | BCBS |
| 0942054-01 | MEDICAID (05) | TX |
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
- 45D0914073
- Facility Type
- Hospital
- Certificate Effective Date
- April 19, 2026
- Certificate Expiration Date
- April 18, 2028
- Laboratory Director
- GREGORY P. CUSANO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Texas Health Specialty Hospital Fort Worth 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.
Reviews for TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1730278417, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. 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 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730278417, enumerated as an "organization" on October 12, 2006.
The provider is located at 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 and the phone number is (817) 882-3770.
Long Term Care Hospital with taxonomy code 282E00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Imperial. Please consult your insurance carrier or call the provider to verify.
