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

NPI Status: Active since August 19, 2024

Contact Information

5100 RANDOL MILL RD
FORT WORTH, TX
ZIP 76112
Phone: (817) 548-3200

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  • Organization
  • Residential Treatment Facility, Physical...
  • CLIA Number: 45D2205968
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 12-15-2026

About LAKEWOOD VILLAGE PERSONAL CARE UNIT

This page provides the complete NPI Profile along with additional information for Lakewood Village Personal Care Unit, a provider established in Fort Worth, Texas operating as a Residential Treatment Facility, Physical Disabilities. The healthcare provider is registered in the NPI registry with number 1952133886 assigned on August 2024. The practitioner's primary taxonomy code is 320700000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Lakewood Village Personal Care Unit. The authorized official of this NPI record is Cynthia Matheny (Authorized Signatory)

NPI
1952133886
Provider Legal Name
FORT WORTH SENIOR CARE, LLC
Other Organization Name
LAKEWOOD VILLAGE PERSONAL CARE UNIT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5100 RANDOL MILL RD FORT WORTH, TX 76112
Location Phone
(817) 548-3200
Mailing Address
5100 RANDOL MILL RD FORT WORTH, TX 76112
Mailing Phone
(817) 548-3200
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2024
Last Update Date
09-13-2024
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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

Residential Treatment Facility, Physical Disabilities

Taxonomy Code
320700000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1310400000XNursing & Custodial Care Facilities

Assisted Living Facility

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CYNTHIA MATHENY

Authorized Official Title
AUTHORIZED SIGNATORY
Authorized Official Phone
(423) 883-7920

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
45D2205968
Facility Type
Assisted Living Facility
Certificate Effective Date
December 16, 2024
Certificate Expiration Date
December 15, 2026
Laboratory Director
KAREN NICCOLAI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lakewood Village Personal Care Unit 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.

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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 1952133886, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 1 → 2 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 0 + 2 + 2 + 3 + 6 + 8 + 1 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1952133886.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952133886, enumerated as an "organization" on August 19, 2024.

The provider is located at 5100 RANDOL MILL RD FORT WORTH, TX 76112 and the phone number is (817) 548-3200.

Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.