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Texas HHSC regulated location/provider

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In-home-only regulated provider/location. This record identifies a regulated provider/location at the source grain.

Regulator
Texas Health and Human Services Commission (HHSC)
Provider class
In-home-only regulated provider/location
Texas HHSC Facility ID
110889
TrustHub location identity
TX|HHSC|TX_DAHS_ISS_ONLY|110889
Recorded location
1170 COUNTRY CLUB LANE, FORT WORTH, TEXAS, 76112 · TARRANT County
Facility Licensed, as reported
YES
Facility Certified, as reported
NO
License number
310788
License effective date
2026-03-12
License expiration date
2028-02-08
Organization linkage
Not established
Source update date
2026-09-29
Official source
Texas HHSC provider directory

Source status and license facts are reported separately. A license number is not a corporate identity or a CMS CCN.

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