Heritage Place of Decatur – Skilled Nursing Facility, NPI 1659976975

Heritage Place of Decatur is a healthcare provider. based in Ft worth, Texas. specializing in Skilled Nursing Facility. The NPI Number for Heritage Place of Decatur is 1659976975

Main info

Organization
Name
Heritage Place of Decatur
NPI
1659976975
Phone
(817) 348-8959
Address
4150 INTERNATIONAL PLZ STE 600
Authorized Official
GARY BLAKE MANAGING MEMBER
Enumeration Date
3 December 2020
Last Update Date
30 December 2024
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 Heritage Place of Decatur

  • 4150 INTERNATIONAL PLZ STE 600

    FT WORTH, TX 761094831

    Phone: (817) 348-8959

    Type: Mailing

  • 605 W MULBERRY ST

    DECATUR, TX 762341263

    Phone: (940) 627-5444

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20210201000711OSkilled Nursing FacilityTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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

What NPI should I save for Heritage Place of Decatur?
Save NPI 1659976975 if you need a stable reference for Heritage Place of Decatur.
Is Heritage Place of Decatur's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize Heritage Place of Decatur's specialty in plain language?
Clinically, the directory lists Heritage Place of Decatur with Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Where is Heritage Place of Decatur's primary listing?
We display Ft Worth, Texas because that is what the record indicates for Heritage Place of Decatur.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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