Organization Active NPI

Jasper Incorporated LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Austin, TX
National Provider Identifier
1093563660
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
JASPER INCORPORATED LLC
Doing business as
Jasper Incorporated LLC
Practice address
1801 Adriane Dr
Austin, TX 78721-1213
Phone
(737) 895-1419
NPI assigned
May 9, 2024
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Erika Deanne Jasper
Title
Project Manager
Phone
(737) 895-1419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

1801 Adriane Dr
Austin, TX 78721-1213

Mailing address

15502 Pewter Luster CV
Del Valle, TX 78617-2664
Phone (737) 895-1419

Other names 1

  • Jasper Incorporated LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1093563660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15502 PEWTER LUSTER CV",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "786172664",
            "telephone_number": "737-895-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ADRIANE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787211213",
            "telephone_number": "737-895-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER INCORPORATED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "DEANNE",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "737-895-1419"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasper Incorporated LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 9, 2024; 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.