Organization
DECATUR HOSPITAL AUTHORITY
Active
Other names
Fort Worth Transitional Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN TODD SCROGGINS (CEO)
(940) 900-4348
Entity
Organization
Contact information
Practice address
850 12TH AVE., FORT WORTH, TX 76104-2516
(817) 882-8289
(817) 882-8290
Mailing address
850 12TH AVE, FORT WORTH, TX 76104-2516
(817) 882-8289
(817) 882-8290
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
140335
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026023
—
TX
Enumeration date
02/24/2010
Last updated
05/14/2026
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