Organization
FORT WORTH SKILLED CARE, LLC
Active
Other names
Immanuels Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN K THOMAS (MANAGER)
(254) 897-1430
Entity
Organization
Contact information
Practice address
4515 VILLAGE CREEK RD, FORT WORTH, TX 76119-4158
(817) 451-8704
(817) 451-0048
Mailing address
1019 HOLDEN ST, GLEN ROSE, TX 76043-4937
(254) 897-1430
(254) 897-1486
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026850
—
TX
05
—
4529
—
TX
Enumeration date
03/11/2015
Last updated
02/18/2026
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