NPIMap

Organization Active NPI

Rescare Services, Inc.

Doing business as Jefferson Community Residence

  • Intellectual Disabilities Intermediate Care Facility
  • Bastrop, TX
National Provider Identifier
1073641874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
118978 Issued in TX
Legal business name
RESCARE SERVICES, INC.
Doing business as
Jefferson Community Residence
Practice address
1405 Jefferson St
Bastrop, TX 78602-3016
Phone
(512) 303-7638
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert J Steronko, M.S.
Title
Ceo, President
Phone
(512) 328-1832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 118978 TX Primary

Addresses

Primary practice location

1405 Jefferson St
Bastrop, TX 78602-3016

Mailing address

3711 San Antonio St
Austin, TX 78734-2126
Phone (512) 328-1832

Other identifiers 1

IdentifierTypeStateIssuer
45H218MedicaidTX

Other names 1

  • Jefferson Community Residence Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bastrop Community Residence5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073641874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 SAN ANTONIO ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787342126",
            "telephone_number": "512-328-1832",
            "fax_number": "512-328-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 JEFFERSON ST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023016",
            "telephone_number": "512-303-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERONKO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "512-328-1832",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "118978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45H218",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Community Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.