Jack Judson, LLC
Jack Judson, LLC is a healthcare organization registered as Intellectual Disabilities Intermediate Care Facility in Fort Worth, TX, holding Type 2 (organization) NPI 1174683874 since 2006. The authorized official on file is Alicia Kirkpatrick, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174683874 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jack Judson, LLC |
| Other name | <Unavail> |
| Practice address | 4244 RIVER BIRCH RD, Fort Worth, TX, 76137 |
| Phone | 8178475741 |
| Enumeration date | 2006-12-11 |
| Last updated in NPPES | 2008-06-19 |
Authorized official
| Name | Alicia Kirkpatrick |
|---|---|
| Title | President |
| Phone | 8178475741 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | Primary | 007476 | TX |
Copy-ready billing details
Provider: Jack Judson, LLC NPI: 1174683874 Taxonomy: 315P00000X (Intellectual Disabilities Intermediate Care Facility) Address: 4244 RIVER BIRCH RD, Fort Worth, TX, 76137
Verify this record
Cross-check NPI 1174683874 against the authoritative CMS record: view Jack Judson, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Jack Judson, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-19.