2812 Shaffer Lane – Intellectual Disabilities Intermediate Care Facility, NPI 1104427509

2812 Shaffer Lane is a healthcare provider. based in Fort worth, Texas. specializing in Intellectual Disabilities Intermediate Care Facility. The NPI Number for 2812 Shaffer Lane is 1104427509

Main info

Organization
Name
2812 Shaffer Lane
NPI
1104427509
Phone
(800) 299-5161
Address
4800 OVERTON PLZ STE 440
Authorized Official
ANNA TODD OPERATIONS BUSINESS MANAGER
Enumeration Date
3 November 2020
Last Update Date
3 November 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness80
Years active:5State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for 2812 Shaffer Lane

  • 4800 OVERTON PLZ STE 440

    FORT WORTH, TX 761094435

    Phone: (800) 299-5161

    Type: Mailing

  • 2812 SHAFFER LN

    TYLER, TX 757021653

    Phone: (800) 299-5161

    Fax: (817) 447-3033

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76109)

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Reviews

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Frequently asked questions

Can I use this page to confirm 2812 Shaffer Lane's NPI?
Yes. 2812 Shaffer Lane is listed with NPI 1104427509 in the public NPI dataset.
Can I rely on 2812 Shaffer Lane being an active provider?
As of the registry snapshot, 2812 Shaffer Lane is marked active.
What is 2812 Shaffer Lane best known for clinically?
Directory data describes 2812 Shaffer Lane with Intellectual Disabilities Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
What area does 2812 Shaffer Lane serve?
2812 Shaffer Lane's listing highlights Fort Worth, Texas; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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