SOUTHWEST LTC - AUSTIN ALF, LLC (NPI# 1417489113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417489113 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST LTC - AUSTIN ALF, LLC |
| Other Organization Name | COLONIAL GARDENS OF AUSTIN A-2 |
| Practice Address |
3706 Adelphi Ln Austin TX 78727-5308 |
| Mailing Address |
1518 Legacy Dr Suite 110 Frisco TX 75034-6038 |
| Practice Telephone | 4699166100 |
| Practice Fax Number | 4699166105 |
| Mailing Telephone | 4699166100 |
| Mailing Fax Number | 4699166105 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |
| Authorized Official Name | RONALD R PAYNE (CEO) |
| Authorized Official Telephone | 4699166100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 143137 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Colonial Gardens of Austin A-2 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700318722 | Southwest Ltc - Austin Alf, LLC | Assisted Living Facility | 3700 Adelphi Ln, Austin, TX 78727-5308 | 2017-03-29 |
| Street Address |
3706 ADELPHI LN |
| City | AUSTIN |
| State | TX |
| Zip Code | 78727-5308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953188 | Kassidy Lewis | Specialist/Technologist | 12708 Riata Vista Circle, A 106, Austin, TX 78727 | 2020-05-14 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1497239081 | Alison Laurie Cook | Speech-Language Pathologist | 13112 Kellies Farm Lane, Austin, TX 78727 | 2018-09-19 |
| 1326529371 | Excelsior Anesthesia Pllc | Anesthesiology | 12728 Council Bluff Dr, Austin, TX 78727 | 2018-08-28 |
| 1992227847 | Kathryn Ann Aldridge | Registered Nurse | 12608 Terra Nova Ln, Austin, TX 78727 | 2017-07-12 |
| 1912431404 | Harry Lundell | Counselor | 5404 Pony Chase, Austin, TX 78727 | 2017-04-12 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| 1346665080 | Emily Doubt Chiropractic Pllc | Chiropractor | 3951 W Parmer Ln Ste. 300, Austin, TX 78727 | 2014-03-04 |
| 1053689745 | Rahim & Karim, Inc | Durable Medical Equipment & Medical Supplies | 1914 W. Howard Lane, Suite C, Austin, TX 78727 | 2011-12-08 |
| 1538445937 | Thyroid Cytopathology Partners Pa | Pathology | 12357 A Riata Trace Parkway, Bldg. 5, Suite 100, Austin, TX 78727 | 2011-10-30 |
| Find all providers in zip 78727 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354464 | Perfect Care Assisted Living LLC | Assisted Living Facility | 313 E Rundberg Ln Ste 209, Austin, TX 78753-4736 | 2020-04-07 |
| 1407320385 | Three Rivers Advisors, LLC | Assisted Living Facility | 11300 Hunters Ln, Austin, TX 78753-2652 | 2019-01-14 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1942701602 | Accession Estates LLC | Assisted Living Facility | 10301 English Oak Dr, Austin, TX 78748-4015 | 2018-02-27 |
| 1669984613 | Bhal, LLC | Assisted Living Facility | 1606 Nash Ave, Austin, TX 78704-3332 | 2017-10-31 |
| 1700318722 | Southwest Ltc - Austin Alf, LLC | Assisted Living Facility | 3700 Adelphi Ln, Austin, TX 78727-5308 | 2017-03-29 |
| 1013457027 | Lavender Springs LLC | Assisted Living Facility | 13701 Trautwein Rd, Austin, TX 78737-8527 | 2017-02-24 |
| 1386197689 | Ledgestone Management LLC | Assisted Living Facility | 13150 Four Star Blvd, Austin, TX 78737 | 2016-08-03 |
| 1487027116 | Family Primary Home Care Services, Inc. | Assisted Living Facility | 608 Morrow St Ste 102a, Austin, TX 78752-1348 | 2015-11-03 |
| 1902273725 | Legacy Oaks Al, LLC | Assisted Living Facility | 7501 W. Highway 290, Austin, TX 78736 | 2015-08-27 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.