Winifred Pokuaa
Assisted Living Facility in Fort Worth, TX. Individual provider (NPI-1).
NPI number1003676966
StatusActive
Last updated in NPPESMar 19, 2024
Details
- NPI
- 1003676966
- Entity type
- Individual (NPI-1)
- Name
- Winifred Pokuaa
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2024
- Certification date
- Mar 19, 2024
- Last updated
- Mar 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
9352 Herringbone DrFort Worth, TX 76131-1842
Phone 701-590-8632
Mailing address
9352 Herringbone DrFort Worth, TX 76131-1842
Phone 701-590-8632
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 55 Assisted Living Facility providers in Fort Worth · All 20,155 providers in Fort Worth
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