Active NPI
Tristar Care Center, Inc.
- Skilled Nursing Facility
- Fredericksburg, TX
National Provider Identifier
1083793822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TRISTAR CARE CENTER, INC.
- Practice address
- 619 W Live Oak St
Fredericksburg, TX 78624-4415 - Phone
- (830) 997-4391
- NPI assigned
- Nov 3, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Fayez Y Mohammed
- Title
- President
- Phone
- (512) 698-9010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
619 W Live Oak St
Fredericksburg, TX 78624-4415
Mailing address
2704 Blackstone CV
Round Rock, TX 78664-7892
Phone (512) 698-9010
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083793822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 BLACKSTONE CV",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786647892",
"telephone_number": "512-698-9010",
"fax_number": "512-310-0631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 W LIVE OAK ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244415",
"telephone_number": "830-997-4391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRISTAR CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOHAMMED",
"authorized_official_first_name": "FAYEZ",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-698-9010",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, 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.