LAKEWOOD VILLAGE PERSONAL CARE UNIT
NPI 1952133886
Residential Treatment Facility, Physical Disabilities in Fort Worth, TX

Active since August 19, 2024CLIA 45D2205968 · Waiver
5100 RANDOL MILL RD, FORT WORTH, TX 76112(817) 548-3200 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2024, Aug 19, 2024 (2 updates tracked since 2024).

About Lakewood Village Personal Care Unit NPPES

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

LAKEWOOD VILLAGE PERSONAL CARE UNIT (NPI 1952133886) is a healthcare organization registered as a residential treatment facility, physical disabilities in Fort Worth, Texas and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Cynthia Matheny, Authorized Signatory, as its authorized official.

NPPES Registry Identity

NPI1952133886
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameFORT WORTH SENIOR CARE, LLC
Location Address5100 RANDOL MILL RDFort Worth, TX 76112-1553
Mailing Address5100 Randol Mill RdFort Worth, TX 76112-1553 · (817) 548-3200
Organization SubpartNo
Authorized OfficialCynthia MathenyAuthorized Signatory · (423) 883-7920
Enumeration DateAugust 19, 2024
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
NPI 1952133886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Also ListedAssisted Living FacilityTaxonomy 310400000X
5100 RANDOL MILL RD, Fort Worth, TX 76112

Other Names 1

Doing Business AsLakewood Village Personal Care Unit

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 45D2205968

Lakewood Village Personal Care Unit · Fort Worth, TX
Active · expires Dec 15, 2026
CLIA Number45D2205968
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorKaren Niccolai
Laboratory Phone(817) 548-3200
Laboratory LocationLakewood Village Personal Care Unit5100 Randol Mill Rd, Fort Worth, TX 76112
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Clinic/Center (Rehabilitation)
5100 RANDOL MILL RD
FORT WORTH, TX 76112
Skilled Nursing Facility
5100 RANDOL MILL RD
FORT WORTH, TX 76112
Speech-Language Pathologist
5100 RANDOL MILL RD
FT WORTH, TX 76112
Assisted Living Facility
5100 RANDOL MILL RD
FORT WORTH, TX 76112
Clinic/Center (Rehabilitation)
5100 RANDOL MILL RD
FORT WORTH, TX 76112
Occupational Therapy Assistant
5100 RANDOL MILL RD
FORT WORTH, TX 76112
Occupational Therapist (Gerontology)
5100 RANDOL MILL RD
FORT WORTH, TX 76112
Occupational Therapist
5100 RANDOL MILL RD
FORT WORTH, TX 76112

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 Fort Worth Senior Care, LLC's NPI number?

The NPI number for Fort Worth Senior Care, LLC is 1952133886. It was assigned to this organization in the NPPES registry on August 19, 2024. The provider is doing business as Lakewood Village Personal Care Unit.

Where is Fort Worth Senior Care, LLC located?

Fort Worth Senior Care, LLC is located at 5100 Randol Mill Rd, Fort Worth, TX 76112. The listed phone number is (817) 548-3200.

What is Fort Worth Senior Care, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

Does Fort Worth Senior Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2205968) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Worth Senior Care, LLC was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.