AUTUMN LEAVES OF FOSSIL CREEK
NPI 1891950762
Assisted Living Facility in Haltom City, TX

Q: What is Fossil Creek Memory Care LLC's NPI number?

The NPI number for Fossil Creek Memory Care LLC is 1891950762. It was assigned to this organization in the NPPES registry on July 21, 2008. The provider is also known as Autumn Leaves Of Fossil Creek.

Q: What is Fossil Creek Memory Care LLC's specialty?

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

Active since July 21, 2008

4501 SILVER SAGE DR, HALTOM CITY, TX 76137(817) 849-8000 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Autumn Leaves Of Fossil Creek NPPES

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

AUTUMN LEAVES OF FOSSIL CREEK (NPI 1891950762) is a healthcare organization registered as an assisted living facility in Haltom City, Texas and active in the NPI registry since July 2008. The organization lists Chad Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1891950762

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameFOSSIL CREEK MEMORY CARE LLC

Location Address4501 SILVER SAGE DRHaltom City, TX 76137-5825

Mailing Address545 E John Carpenter FwyIrving, TX 75062-3931 · (214) 239-8400

Phone(817) 849-8000

Organization SubpartNo

Authorized OfficialChad AndersonPresident · (214) 239-8400

Enumeration DateJuly 21, 2008

✔ NPI 1891950762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in TX · 103208

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.

4501 SILVER SAGE DR, Haltom City, TX 76137

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Other Names 1

Other NameAutumn Leaves Of Fossil Creek

Other Providers at the Same Location NPPES

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

JUSTIN C FLOREY PTA

Physical Therapy Assistant

4501 SILVER SAGE DR
HALTOM CITY, TX 76137

Tarrant County (817) 849-8000

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 Fossil Creek Memory Care LLC's NPI number?

The NPI number for Fossil Creek Memory Care LLC is 1891950762. It was assigned to this organization in the NPPES registry on July 21, 2008. The provider is also known as Autumn Leaves Of Fossil Creek.

Where is Fossil Creek Memory Care LLC located?

Fossil Creek Memory Care LLC is located at 4501 Silver Sage Dr, Haltom City, TX 76137. The listed phone number is (817) 849-8000.

What is Fossil Creek Memory Care LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Fossil Creek Memory Care LLC was last updated on July 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.