# FT. WORTH SOUTHWEST NURSING CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHWEST NURSING & REHABILITATION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134117666
- **Authorized official:** DICK STEBBINS CPA (MEMBER/MANAGER)
- **Authorized official phone:** (903) 757-5360

## Contact information

- **Practice address:** 5300 ALTA MESA BLVD, FORT WORTH, TX 76133-5924
- **Practice address phone:** (817) 346-1800
- **Practice address fax:** (817) 346-0149
- **Mailing address:** 600 E WHALEY ST, LONGVIEW, TX 75601-6525
- **Mailing address phone:** (903) 757-5360
- **Mailing address fax:** (903) 753-8621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100222 | TX | Yes |

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 09/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001001513 | — | TX |
| 05 | — | 022645801 | — | TX |