# FORT WORTH SKILLED CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Immanuels Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306239587
- **Authorized official:** MR. BRIAN K THOMAS (MANAGER)
- **Authorized official phone:** (254) 897-1430

## Contact information

- **Practice address:** 4515 VILLAGE CREEK RD, FORT WORTH, TX 76119-4158
- **Practice address phone:** (817) 451-8704
- **Practice address fax:** (817) 451-0048
- **Mailing address:** 1019 HOLDEN ST, GLEN ROSE, TX 76043-4937
- **Mailing address phone:** (254) 897-1430
- **Mailing address fax:** (254) 897-1486

## Taxonomy

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

## Other

- **Enumeration date:** 03/11/2015
- **Last updated:** 02/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001026850 | — | TX |
| 05 | — | 4529 | — | TX |