MEDICARE: SLP FORT WORTH LLC

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	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1023605730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLP FORT WORTH LLC

Provider Business Mailing Address
First Line	:	701 SAINT LOUIS AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3324
Country	:	US
Telephone Number	:	817-332-9962
Fax Number	:	817-332-9252

Provider Business Practice Location Address
First Line	:	701 SAINT LOUIS AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3324
Country	:	US
Telephone Number	:	817-332-9962
Fax Number	:	817-332-9252

Authorized Official
Title or Position	:	CEO
Name	:	CASSANDRA MISTRETTA
Credential	:
Telephone Number	:	817-410-7300

Provider Enumeration Date	:	12/29/2020
Last Update Date	:	12/29/2020

Similar Medicare Providers

1144216912 — WELLINGTON OAKS NURSING AND REHABILITATION LP
Practice Location Address:

701 SAINT LOUIS AVE
FORT WORTH, TX
76104-3324

Practice Phone: 817-332-9962
Practice Fax: 817-332-9252

1346721073 — PAMELA J ROSE
Practice Location Address:

701 SAINT LOUIS AVE
FORT WORTH, TX
76104-3324

Practice Phone: 817-332-9962
Practice Fax:

1386125011 — FELECIA HALEY
Practice Location Address:

701 SAINT LOUIS AVE
FORT WORTH, TX
76104-3324

Practice Phone: 817-933-9195
Practice Fax:

1912480179 — ASHLEY KATERS
Practice Location Address:

701 SAINT LOUIS AVE
FORT WORTH, TX
76104-3324

Practice Phone: 817-332-9962
Practice Fax:

1427250083 — DR. STEPHEN JAY KARTEN PH.D.
Practice Location Address:

6707 BRENTWOOD STAIR RD STE 218
FORT WORTH, TX
76112-3324

Practice Phone: 817-870-2499
Practice Fax: 817-507-3360

1699669960 — JORGE ALEJANDRO VASQUEZ LCDC
Practice Location Address:

6707 BRENTWOOD STAIR RD STE 218
FORT WORTH, TX
76112-3324

Practice Phone: 214-952-7505
Practice Fax:

Directions to “SLP FORT WORTH LLC ” 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 © 2007-2025 (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.