MEDICARE: PRESTONWOOD HOME HEALTH OF FORT WORTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	251J00000X	Nursing Care Agency
3	3747A0650X	Attendant Care Provider
4	3747P1801X	Personal Care Attendant
5	374U00000X	Home Health Aide
6	251E00000X	Home Health Agency	011459	TX

General Provider Information

NPI Number	:	1073713244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESTONWOOD HOME HEALTH OF FORT WORTH INC

Provider Business Mailing Address
First Line	:	6468 BRENTWOOD STAIR RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-3228
Country	:	US
Telephone Number	:	817-230-3847
Fax Number	:	817-294-0338

Provider Business Practice Location Address
First Line	:	6468 BRENTWOOD STAIR RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-3228
Country	:	US
Telephone Number	:	817-230-3847
Fax Number	:	817-294-0338

Authorized Official
Title or Position	:	ALT ADMINISTRATOR
Name	:	CELESTINA OGBOLUGO
Credential	:	RN
Telephone Number	:	817-230-3847

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	09/02/2025

Similar Medicare Providers

1689532665 — DESHONDA CHARTRICE TUCKER
Practice Location Address:

6436 BRENTWOOD STAIR RD
FORT WORTH, TX
76112-3228

Practice Phone: 682-351-7748
Practice Fax:

1497853345 — MARITZA ELVA REYES LCSW
Practice Location Address:

3228 SCHOFIELD RD STE 103
FORT SAM HOUSTON, TX
78234-7603

Practice Phone: 210-808-3275
Practice Fax:

1982769121 — DR. DANIEL B FEIT DMD
Practice Location Address:

2016 BREAKWATER LN
FORT LAUDERDALE, FL
33316-3228

Practice Phone: 201-207-9999
Practice Fax:

1093019473 — MISS SHELEAH CLARK
Practice Location Address:

3108 CANTERBURY BLVD APT 6
FORT WAYNE, IN
46835-3228

Practice Phone: 260-418-5419
Practice Fax:

1285989061 — DR. EMILY LAUREN HOLLEY PHARMD
Practice Location Address:

1717 FORT HENRY DR
KINGSPORT, TN
37664-3228

Practice Phone: 423-247-3124
Practice Fax: 423-247-5907

1093163081 — MICAH KUST
Practice Location Address:

2544 E SUNRISE BLVD
FORT LAUDERDALE, FL
33304-3228

Practice Phone: 954-253-0853
Practice Fax: 954-416-3625

Directions to “PRESTONWOOD HOME HEALTH OF FORT WORTH INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.