MEDICARE: JUSSAFE ADULT FOSTER CARE

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	305S00000X	Point of Service

General Provider Information

NPI Number	:	1417273350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUSSAFE ADULT FOSTER CARE

Provider Business Mailing Address
First Line	:	8945 PREAKNESS CIR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-3582
Country	:	US
Telephone Number	:	214-680-4815
Fax Number	:

Provider Business Practice Location Address
First Line	:	8945 PREAKNESS CIR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-3582
Country	:	US
Telephone Number	:	214-680-4815
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. KRISTINA M ROBERTS-WYNN
Credential	:
Telephone Number	:	214-680-4815

Provider Enumeration Date	:	04/16/2010
Last Update Date	:	04/16/2010

Similar Medicare Providers

1437681657 — DIAUDRA NEMONS
Practice Location Address:

8960 PREAKNESS CIR
FORT WORTH, TX
76123-3582

Practice Phone: 682-553-0503
Practice Fax:

1205729928 — MR. MODIBO KEITA
Practice Location Address:

8908 PREAKNESS CIR
FORT WORTH, TX
76123-3582

Practice Phone: 352-870-7404
Practice Fax:

1174467625 — SAMETRIA VARRA M.ED, LPC ASSOCIATE
Practice Location Address:

7961 BALLATER DR
FORT WORTH, TX
76123-2130

Practice Phone: 817-205-3549
Practice Fax:

1639012032 — LOTOYA HENSON
Practice Location Address:

5520 SYCAMORE SCHOOL RD STE 210
FORT WORTH, TX
76123-3056

Practice Phone: 682-900-1444
Practice Fax: 432-322-4597

1104815505 — DR. STEVEN LEE SIMMONS D.O.
Practice Location Address:

7148 TRAIL LAKE DR
FORT WORTH, TX
76123-1969

Practice Phone: 817-294-0934
Practice Fax:

1659360717 — DR. DOUGLAS PETER HUME MD
Practice Location Address:

8441 FILBERT CIR
FORT WORTH, TX
76123-5055

Practice Phone: 910-257-7557
Practice Fax:

Directions to “JUSSAFE ADULT FOSTER CARE ” 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.