Organization Active NPI

Retirement Austin Nursing & Rehab LLC

  • Skilled Nursing Facility
  • Austin, TX
National Provider Identifier
1003414723
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RETIREMENT AUSTIN NURSING & REHAB LLC
Practice address
6909 Burnet LN
Austin, TX 78757-2430
Phone
(512) 452-5719
NPI assigned
Oct 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bradley Stebbins
Title
President
Phone
(903) 237-8143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6909 Burnet LN
Austin, TX 78757-2430

Mailing address

600 E Whaley St
Longview, TX 75601-6525

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1003414723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E WHALEY ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 BURNET LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787572430",
            "telephone_number": "512-452-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETIREMENT AUSTIN NURSING & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "STEBBINS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-237-8143"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.