TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH
NPI 1730278417
Long Term Care Hospital in Fort Worth, TX

Q: What is Texas Health Specialty Hospital Fort Worth's specialty?

The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.

Active since October 12, 2006CLIA 45D0914073 · Waiver

1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 882-3770(817) 570-8199 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 22, 2026, Apr 22, 2022, Feb 12, 2021 and 2 more (5 updates tracked since 2016).

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About Texas Health Specialty Hospital Fort Worth NPPES

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

TEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH (NPI 1730278417) is a healthcare organization registered as a long term care hospital in Fort Worth, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 18, 2028 and lists Jeff Mincher, Senior Vp Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1730278417

Entity TypeOrganization

Primary Taxonomy282E00000X

Legal Business NameTEXAS HEALTH SPECIALTY HOSPITAL FORT WORTH

Location Address1301 PENNSYLVANIA AVEFort Worth, TX 76104-2122

Mailing Address500 E Border St # 124Arlington, TX 76010-7445 · (800) 890-6034

Phone(817) 882-3770

Fax(817) 570-8199

Organization SubpartYesParent: Harris Methodist Fort Worth

Authorized OfficialJeff MincherSenior Vp Revenue Cycle · (682) 236-3013

Enumeration DateOctober 12, 2006

Last NPPES UpdateApril 22, 20265 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1730278417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLong Term Care HospitalHospitals

Taxonomy Code282E00000X

License✔ Licensed in TX · 000652

Definition

Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

1301 PENNSYLVANIA AVE, Fort Worth, TX 76104

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Other Identifiers 4

OtherHH0915TX · Blue Cross Continued Care

Other232200200TX · Dept Of Labor

OtherHOHH091501TX · Bcbs

Medicaid0942054-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..Insurance ›

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 45D0914073

Texas Health Specialty Hospital · Fort Worth, TX

Active · expires Apr 18, 2028

CLIA Number45D0914073

Laboratory TypeHospital

Certificate Effective DateApril 19, 2026

Certificate Expiration DateApril 18, 2028

Laboratory DirectorGregory P. Cusano

Laboratory Phone(817) 882-5500

Laboratory LocationTexas Health Specialty Hospital1301 Pennsylvania Ave 4th Floor Main, Fort Worth, TX 76104

CLIA data matches this NPI record on: Address Name

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEIDI DANIELLE TOMLINSON M.D.

Pediatrics

1301 PENNSYLVANIA AVE, DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX 76104

Tarrant County (817) 250-2892

RICARDO VILLARREAL JR. MD

Internal Medicine