Brooke Haven Care Home LLC
NPI 1417440488ActiveOrganization· Specialist· Fort Worth, TX
Specialist in Fort Worth, Texas, registered in NPPES in June 2018. The authorized official on file is Tyrin Holt, Specialist.
Overview
| NPI | 1417440488 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2018 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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