Organization Active NPI

Austin Senior Care

  • Assisted Living Facility
  • Austin, TX
National Provider Identifier
1124186473
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
001013689 Issued in TX
Legal business name
AUSTIN SENIOR CARE
Practice address
1414 Cardinal Hill Dr
Austin, TX 78758
Phone
(512) 853-9503
Fax
(512) 692-7648
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mrs. Cyushika Lashay Brooks-Harper
Title
Owner
Phone
(512) 431-4093

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 115046 TX
Assisted Living Facility 310400000X 001013689 TX Primary

Addresses

Primary practice location

1414 Cardinal Hill Dr
Austin, TX 78758

Mailing address

3318 Cantera Way
Round Rock, TX 78681

Other identifiers 1

IdentifierTypeStateIssuer
001013689MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1124186473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 CANTERA WAY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 CARDINAL HILL DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "512-853-9503",
            "fax_number": "512-692-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "BROOKS-HARPER",
        "authorized_official_first_name": "CYUSHIKA",
        "authorized_official_middle_name": "LASHAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-431-4093",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "115046",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "001013689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013689",
            "state": "TX"
        }
    ],
    "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 Jul 16, 2008; 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.