AUSTIN ADULT HOMECARE (NPI# 1528579919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528579919 |
| Entity Type | Organization |
| Organization Name | AUSTIN ADULT HOMECARE |
| Practice Address |
5608 Palo Blanco Ct Austin TX 78744-3838 |
| Mailing Address |
Po Box 19601 Austin TX 78760-9601 |
| Practice Telephone | 2109755322 |
| Practice Fax Number | 2109755322 |
| Mailing Telephone | 2109755322 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |
| Authorized Official Name | MR. MATTHEW BAIN (OWNER/PROGRAM DIRECTOR) |
| Authorized Official Telephone | 2109755322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
5608 PALO BLANCO CT |
| City | AUSTIN |
| State | TX |
| Zip Code | 78744-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1285245753 | Michelle Susan Kuczkowski | Nurse Practitioner | 6230 E. Stassney Lane, Austin, TX 78744 | 2020-08-10 |
| 1497365704 | Kaushal Mansinhbhai Chaudhari | Dentist | 1612 E William Cannon Dr, Austin, TX 78744 | 2020-08-03 |
| 1124664933 | Andre Nettie Gardiner-martinez | Social Worker | 7701 Metropolis Drive, Bldg 13, Suite 100, Austin, TX 78744 | 2019-11-27 |
| 1699259192 | Kedra S Priest | Counselor | 5015 Sih 35, Austin, TX 78744 | 2018-09-20 |
| 1720568512 | Melissa Jonfe-quinto | Speech-Language Pathologist | 8300 Bluff Springs Road, Apt 616, Austin, TX 78744 | 2018-08-21 |
| 1255821195 | Samantha Padilla | Nurse Practitioner | 7701 Metropolis Dr., Austin, TN 78744 | 2018-05-16 |
| 1275050544 | Ann-marie Keller | Student in an Organized Health Care Education/Training Program | 7900 Ardmore Circle, Austin, TX 78744 | 2017-08-27 |
| 1477944171 | Lindsay Box | Counselor | 5015 S Ih-35 Frontage Rd, #200, Austin, TX 78744 | 2015-02-17 |
| 1487050308 | William Alexander Terry | Social Worker | 5015 S Ih 35 Frontage Rd #200, Austin, TX 78744 | 2014-11-05 |
| Find all providers in zip 78744 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801326491 | Badu Residency, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3320 Harmon Avenue, Apt. 276, Austin, TX 78705 | 2017-06-15 |
| 1366856551 | Commendable Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9725 N Lake Creek Pkwy, Apt 2311, Austin, TX 78717-5906 | 2014-06-16 |
| 1619304698 | Amor Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6207 Ringsby Rd, Austin, TX 78747-2679 | 2013-10-04 |
| 1013349109 | The Exemplar Organization, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11901 Hobby Horse Ct, #1911, Austin, TX 78758-2932 | 2013-07-31 |
| 1225266281 | All for One Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5310 Summer Cir, Austin, TX 78741-3249 | 2009-06-29 |
| 1942463278 | Assurance Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12113 Metric Blvd Apt 1521, Austin, TX 78758-8631 | 2008-07-07 |
| 1467639807 | Draco Services 2, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4020 Manchaca Rd, Austin, TX 78704-6746 | 2008-01-29 |
| 1922294776 | D. Wright Enterprises | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7225 Ellington Cir, Austin, TX 78724-3502 | 2007-09-14 |
| 1003019464 | Issac Dawon Earls I | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4502 Magin Meadow Dr, Austin, TX 78744-5248 | 2007-06-06 |
| 1033310073 | Casa De Alas Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2603 Campden Dr, Austin, TX 78745-4840 | 2007-05-29 |
| 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.